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NEWSLETTER Newsletter of the Society for Academic Emergency Medicine November/December 2003 Volume XV, Number 6 P RESIDENT S M ESSA GE The ‘Core Being’ of SAEM In the first President’s Message I wrote in the summer, I told you of the important issues the Board of Directors (BOD) were working on this year. One is related to SAEM funding of research and ‘How to do it and can we do more of it?’ I’d like to address this, especially given the implications of any actions on the Society. To date, SAEM has largely been a ‘self sufficient’ organi- zation. We attract many of our own as members (students through faculty and other interested emergency medical pro- fessionals) and depend on their efforts, enthusiasm and ‘vol- unteerism’. We have created a world-class meeting and jour- nal largely based on our own resources, attracting others (including non-emergency medicine professionals, public health and governmental experts) to create excellent net- working and sharing of ideas. We fund ourselves through dues and fees for the meeting, journal and other products, with some help from special drives, including the Research Fund and its predecessor. Through all of these successes, we have advanced our research and education mission, but kept outside influences limited. Many of you comment on this – noting that SAEM is ‘not beholden to industry’ or other such comments. A goal of our organization is to increase the funding of our research training grants.To date, we have done well, cre- ating a balance of nearly $2.4 million to serve this important area. Based on our own analyses, we believe more dollars are needed to create a sustained program capable of creat- ing the next generation of academicians, able to compete favorably at many levels with colleagues in other medical dis- ciplines. We believe that achieving that will require a research fund pool of $8-10 million available within 5-7 years. To get to that goal, we must consider reaching beyond our members, who have and continue to be generous. We have some experience with this – the EMS Fellowship has been sponsored by Physio-Control/Medtronics since its inception, helping train EMS academicians for over a decade. In addition, Astra-Zeneca has sponsored the Neurological Research Fellowship.To help us (the Board of Directors), better understand the path of fundraising, we solicited and evaluated many proposals from experts in the Donald M.Yealy, MD (continued on next page) S A E M NEWSLETTER 901 North Washington Ave. Lansing, MI 48906-5137 (517) 485-5484 [email protected] www.saem.org Call for AEM Reviewers Deadline: February 1, 2004 The editors of AEM invite interested SAEM members to submit nominations to serve as peer reviewers for Academic Emergency Medicine. As an indicator of familiarity with the peer-review process, the medical literature, and the research process in general, peer- reviewers are expected to have published at least two peer-reviewed papers in the medical literature as first or second author. Some of these papers should be original research work. Alternatively, other scholarly work or experience will be considered as evidence of expertise (i.e., informatics experience demonstrated by network/ database/desktop development). AEM peer-reviewers are invited to review specific manuscripts based on their area(s) of expertise. Once a reviewer has accepted an invitation to review a manuscript, the reviewer is expected to complete the review within 14 days of receipt of the manuscript. In order to provide feedback to reviewers, reviewers receive the consensus review from each manuscript that they review. In addition, each review is evaluated by the decision editor in the areas of timeliness, assessment of manuscript strengths and weaknesses, constructive suggestions, summarizing major issues and concerns, and overall quality of the review. Scores are compiled in the AEM database. Each year the Editor-in-Chief designates Outstanding Reviewers for public acknowledgment of excellent contributions to the peer- review process. Most appointments as peer reviewer are for three years. Reviewers whose consistently fail to respond to request to review, who are unavailable to perform reviews, or who submit later or incomplete reviews may be dropped from the peer reviewer database at any time, at the discretion of the Editor-in-Chief. Individuals interested in being considered for appointment as an AEM peer reviewer must send a letter of interest including areas of expertise as defined on the reviewer topic survey and a current CV. The reviewer topic survey can be found at www .saem.org /inf or m/resur v e y .htm . All applications should be submitted electronically to [email protected] by February 1, 2004.

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Page 1: November-December 2003

NEWSLETTERNewsletter of the Society for Academic Emergency Medicine November/December 2003 Volume XV, Number 6

PRESIDENT’S MESSAGE

The ‘Core Being’ ofSAEM

In the first President’s MessageI wrote in the summer, I told you ofthe important issues the Board ofDirectors (BOD) were working onthis year. One is related to SAEMfunding of research and ‘How to doit and can we do more of it?’ I’d liketo address this, especially giventhe implications of any actions onthe Society.

To date, SAEM has largely been a ‘self sufficient’ organi-zation. We attract many of our own as members (studentsthrough faculty and other interested emergency medical pro-fessionals) and depend on their efforts, enthusiasm and ‘vol-unteerism’. We have created a world-class meeting and jour-nal largely based on our own resources, attracting others(including non-emergency medicine professionals, publichealth and governmental experts) to create excellent net-working and sharing of ideas. We fund ourselves throughdues and fees for the meeting, journal and other products,with some help from special drives, including the ResearchFund and its predecessor. Through all of these successes,we have advanced our research and education mission, butkept outside influences limited. Many of you comment on this– noting that SAEM is ‘not beholden to industry’ or othersuch comments.

A goal of our organization is to increase the funding ofour research training grants.To date, we have done well, cre-ating a balance of nearly $2.4 million to serve this importantarea. Based on our own analyses, we believe more dollarsare needed to create a sustained program capable of creat-ing the next generation of academicians, able to competefavorably at many levels with colleagues in other medical dis-ciplines. We believe that achieving that will require aresearch fund pool of $8-10 million available within 5-7years.

To get to that goal, we must consider reaching beyondour members, who have and continue to be generous. Wehave some experience with this – the EMS Fellowship hasbeen sponsored by Physio-Control/Medtronics since itsinception, helping train EMS academicians for over adecade. In addition, Astra-Zeneca has sponsored theNeurological Research Fellowship. To help us (the Board ofDirectors), better understand the path of fundraising, wesolicited and evaluated many proposals from experts in the

Donald M. Yealy, MD

(continued on next page)

SAEM NEWSLETTER

901 North

Washington Ave.

Lansing, MI

48906-5137

(517) 485-5484

[email protected]

www.saem.org

Call for AEM ReviewersDeadline: February 1, 2004

The editors of AEM invite interested SAEM membersto submit nominations to serve as peer reviewers forAcademic Emergency Medicine. As an indicator offamiliarity with the peer-review process, the medicalliterature, and the research process in general, peer-reviewers are expected to have published at least twopeer-reviewed papers in the medical literature as first orsecond author. Some of these papers should be originalresearch work. Alternatively, other scholarly work orexperience will be considered as evidence of expertise(i.e., informatics experience demonstrated by network/database/desktop development).

AEM peer-reviewers are invited to review specificmanuscripts based on their area(s) of expertise. Once areviewer has accepted an invitation to review amanuscript, the reviewer is expected to complete thereview within 14 days of receipt of the manuscript.

In order to provide feedback to reviewers, reviewersreceive the consensus review from each manuscript thatthey review. In addition, each review is evaluated by thedecision editor in the areas of timeliness, assessment ofmanuscript strengths and weaknesses, constructivesuggestions, summarizing major issues and concerns,and overall quality of the review. Scores are compiled inthe AEM database. Each year the Editor-in-Chiefdesignates Outstanding Reviewers for publicacknowledgment of excellent contributions to the peer-review process. Most appointments as peer reviewer arefor three years. Reviewers whose consistently fail torespond to request to review, who are unavailable toperform reviews, or who submit later or incompletereviews may be dropped from the peer reviewer databaseat any time, at the discretion of the Editor-in-Chief.

Individuals interested in being considered forappointment as an AEM peer reviewer must send a letterof interest including areas of expertise as defined on thereviewer topic survey and a current CV. The reviewertopic survey can be found at www.saem.org/inform/resurvey.htm. All applications should besubmitted electronically to [email protected] by February1, 2004.

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Call for PapersAcademic Emergency Medicine Consensus Conference:

“Using Information Technology to Improve ED Patient Care”The use of information technology

(IT) in the ED is bound to increase.Information technology has the potentialto quickly provide data that can be usedto study essential topics related to thepractice of emergency medicine. Thequestions that could be answered withgood ED IT are nearly endless, andinclude how to reduce medical errors,assure quality and equal ED care, doc-ument and monitor ED overcrowding,identify emerging infectious diseases orbioterrorism, and mend the unravelingsafety net. However, there are currentlyno standards for ED IT. There is no def-inition of essential components of anadequate information system, of univer-sal minimum requirements for data col-

lection, of common language to allowinformation exchange. Unless theemergency medicine academic commu-nity has input into these issues, we willlose the chance to design and imple-ment this powerful clinical tool in theway best suited to our needs.

The 2004 AEM ConsensusConference will be held May 15, 2004as a pre-day session before the SAEMAnnual Meeting in Orlando, Florida. Theconference will address the issues ofdeveloping ED IT standards for design,implementation, data recording, infor-mation exchange and IT research;developing an ED IT research agenda;determining how systems issues andclinical practice patterns need to be

considered in developing good ED IT;and determining how ED clinical IT canimpact ED residency training.

AEM has issued a Call for Papers on“Using IT to Improve ED Patient Care.”Original contributions describing rele-vant research or concepts in this topicarea will be considered for publication inthe Special Topics issue of AEM,November 2004, if received by April 1,2004. All submissions will be peerreviewed by guest editors with expert-ise in this area. If you have questions,contact Michelle Biros [email protected]. Watch the SAEMNewsletter and the AEM and SAEMwebsites for more information about theConsensus Conference.

spring of 2003.Recently, a 4-month feasibility study

was completed, outlining the possibili-ties for fundraising and potential strate-gies. What is clear is that relationshipswith industry and foundations will be keyto this huge undertaking if success is tobe achieved. Those relationships offerpromise – the promise for newresources to achieve our mission. Thoserelationships and our approach to themoffer potential change to the organiza-tion, and may be perceived by some asa threat to ‘the cleanliness of SAEM’ (notmy words but stated to me!) Can fundscome unencumbered? If not, can wemanage those encumbrances? Can wemake the organizational changes need-

ed to oversee fundraising, recognizingdonors want to have involvement in theprocess?

What we need – the Board and theSociety – is member participation, start-ing with two basic questions: Can wechange and develop new relationshipswith industry and foundation without los-ing ‘our identity’? Can we make SAEM abetter organization, serving our missionand our members – especially thosemost in need of training for academicsuccess – more fully, or will this changeharm ‘who we are’? Many other ques-tions will arise, but these seem to be thestart.

I, on behalf of the Board of Directorsand the administrative staff, ask you to

think about these simple questions andoffer your thoughts. We were chosen byyou to serve the Society’s needs andmission. Tell me/us what you think aboutthe current state, the potential for futurechanges, or the concerns you haveregarding either topic. By the time youread this, the Board will have begun theprocess of considering options;nonetheless, no final plans can occurquickly, and your input is critical. Thisinput can be sent by phone or via regu-lar mail to the main office or me or anyBoard member, or via email ([email protected] or [email protected],). If you’ve read this far –thanks again!

President’s Message (Continued)

In Memoriam: Robert Rydman (1949-2003)Charlene Irvin, MDSt. John Hospital

It is with a heavy heart that I write to inform the member-ship of the death of a friend. I was recently informed that Dr.Robert Rydman, PhD, died on July 15, 2003.

I read his obituary, and found it interesting to learn that heplayed the saxophone and the piano. In hindsight, this didn’tsurprise me. I knew he had a Harley Motorcycle, and couldeven imagine him in his leather riding gear. I found that inter-esting as it contrasted with my interactions with the soft spo-ken gentleman I knew. I expected to see him twice a year, atSAEM in the spring, and ACEP in the fall. He was a face Icould rely on at the public health and health services meetings.I became used to his presence, his suggestions, his wisdom,and contributions. He had a long standing interest in public

health that went back to the heat related deaths in Chicago inthe 1990s. He was a key health services researcher, andalways had something constructive to add to any conversation.

It seems to me that some of us build nests - networks ofpeople with similar EM interests and goals, that surround usand help support us. He was part of my nest. Dr. RobertRydman was a good man. He will be missed by many whobenefited from his public health research, but never even knewhim. He will be missed professionally for his contributions topublic health and health services research. And, he will bemissed personally by me, and many others whose lives hetouched.

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Five New Residency Programs ApprovedDuring the September meeting of the Residency ReviewCommittee for Emergency Medicine (RRC-EM), five new EMprograms were approved. This brings the number of approvedprograms to 132. Please refer to the SAEM ResidencyCatalog at www.saem.org for further details. Congratulationsto all of the new programs!

Louisiana State University, Shreveport The Louisiana State University Health Science Center,Shreveport Emergency Medicine Residency Program hasbeen approved for seven residents per year and is a PGY 1-3program. The program will be located within UniversityHospital, which functions as the teaching hospital for LSUHealth Science Center and is the only level 1 trauma center inthe region. The Program Director and Chair is Thomas C.Arnold, MD, and the Associate Program Director is Thomas K.Swoboda, MD, MS.

New York Hospital Queens/Cornell Medical CollegeThe New York Hospital Queens/Cornell Medical CollegeEmergency Medicine Residency Program will be a PGY 1-3program with eight residents per year. The Program Directoris James G. Ryan, MD, and the Department Chair is Diane M.Sixsmith, MD. New York Hospital Queens is a 439 bed hospi-tal and major teaching affiliate of Cornell Medical College,located 9 miles from Manhattan. The emergency departmenttreats approximately 70,000 patients per year and is a level 1trauma center.

Penn State UniversityThe Penn State University Emergency Medicine Residency

Program is a PGY 1-3 program and the Residency Director isChristopher J. Deflitch, MD. The program has been approvedfor eight residents per year and will be based at HersheyMedical Center which treats over 42,000 patients in the EDeach year and is a Level I trauma center. Kym Salness, MD, isthe chair of the Department of Emergency Medicine.

University of Iowa The Iowa Emergency Medicine Residency Program is a PGY1-3 program and has been approved for six residents per year.The Program Director is Alfred R. Hansen, MD, PhD, and theAssociate Residency Director is Hans House, MD. The pro-gram is comprised of the emergency departments at theUniversity Hospital in Iowa City and the neighboring St. Luke'sHospital in Cedar Rapids. The program will encourage pursuitof an adjunct degree in public health through a CDC-fundedInjury Prevention Research Center and participation in resus-citation research in the laboratory of the Department ChairEric W. Dickson, MD.

University of Nebraska The Emergency Medicine Residency Program at theUniversity of Nebraska Medical Center has been approved forsix residents per year and is a PGY 1-3 program. The programis based at University Hospital in Omaha, Nebraska and aunique clinical aspect of the program places second and thirdyear residents in a busy rural ED for one month to gain anappreciation of the challenges of rural EM practice. The Chiefof the Section of Emergency Medicine is Robert L. Muelleman,MD, and the Program Director is Michael Wadman, MD.

Call For NominationsYoung Investigator Award

Deadline: December 17, 2003

In May 2004, SAEM will recognize a few young investigators who have demonstrated promise and distinction intheir emergency medicine research careers. The purpose of the award is to recognize and encourage emergencyphysicians/scientists of junior academic rank who have a demonstrated commitment to research as evidenced byacademic achievement and qualifications. The criteria for the award includes:

1. Specialty training and certification in emergency medicine or pediatric emergency medicine.2. Evidence of significant research collaboration with a senior clinical investigator/scientist. This may be in the set-

ting of a collaborative research effort or a formal mentor-trainee relationship.3. Academic accomplishments which may include:

a. postgraduate training/education: research fellowship, master’s program, doctoral program, etc.b. publications: abstracts, papers, review articles, chapters, case reports, etc.c. research grant awardsd. presentations at national research meetingse. research awards/recognition

The deadline for the submission of nominations is December 17, 2003, and nominations should be submitted elec-tronically to [email protected]. Nominations should include the candidate’s CV and a cover letter summarizing why thecandidate merits consideration for this award. Candidates can nominate themselves or any SAEM member can nom-inate a deserving young investigator. Candidates may not be senior faculty (associate or full professor) and must nothave graduated from their residency program prior to July 30, 1997.

The core mission of SAEM is to advance teaching and research in our specialty. This recognition may assist thecareer advancement of the successful nominees. We also hope the successful candidates will serve as role mod-els and inspirations to us all. Your efforts to identify and nominate deserving candidates will help advance the mis-sion of our Society.

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Medical Student Interest Group Grant RecipientsJoel Fein, MDChildrens Hospital of PhiladelphiaSAEM Grants Committee

SAEM is pleased to announce the recipients of the SAEM Medical Student Interest Group Grants. Twenty-three proposals werereceived and reviewed by SAEM Grants Committee members who are involved in medical student education. The criteria usedincluded: the merit of the proposal, the qualifications of the preceptor, sustainability, and the institutional support including the budg-et justification. The Board of Directors approved the selections and the funding of $500 each for the following eight recipients:East Carolina University, Brody School of MedicineElizabeth Cole, MS2, with guidance from Kori Brewer, PhD, willcontinue to develop the Get-PHED UP program(www.ecu.edu/org/getphedup). This program offers medicalstudents the opportunity to experience how preventativehealth care can be incorporated into the practice of EM. Lastyear’s group developed a formal curriculum on preventativehealth care for non-critical ED patients. Topics include breastcancer, smoking cessation, alcohol abuse, diabetes, domesticviolence, and organ donation. The project will continue itsimplementation this year and expand its offerings to interestedundergraduate students.Georgetown UniversityAdam Balls, MS4, and his preceptors Eric Glasser, MD andDavid Milzman, MD, plan to address the role of students in car-diac arrest resuscitations and to develop a teaching tool toimprove student knowledge of effective death notifications.They will create a short educational video depicting simulatedcardiac arrest resuscitations and demonstrate the variousroles that a third and fourth year medical student may take ineach scenario. This video will be used ito orient students forvarious clinical rotations. The group also plans to use Dr. KenIserson's video entitled "The Gravest Words" to teach deathnotification scenarios to third and fourth year medical students.Louisiana State University School of MedicineShannon Matthews, MS4, partnering with Peter Deblieux, MD,will offer a series of procedure workshops to interested med-ical students. The workshops will be interactive, using case-based scenarios, and will also include a cadaver-based sutureclinic. In some workshops, emergency medicine faculty will actas the “voice” of the patient, helping to guide the student andchallenging the student to learn on a “real” patient. In otherworkshops, students will double as patients as they learn howto start IVs and apply splints.University of California, San FranciscoJon Rosenson, MS2, with guidance from Jeffery Tabas, MD,will create a formal advanced procedure curriculum for medicalstudents. The advanced procedure laboratory is cadaver-based, with student presentations and EM faculty teachingcentral venous access, chest tube thoracotomy, and cricothy-roidotomy. The three sessions, which can accommodate atleast 36 students, will focus on safe practices, and will form thebasis for a template curriculum that can be used at other insti-tutions.University of California, IrvineChadi Kahwaji, PhD, Warren Wiechmann, Brian Potts, AmirBernaba, Tom Grotsky, Ilya Saltykov, Benjamin Squire, CliffordWang, Anita Rowhani, Nak Chhiv, Steven Ericksen, LalehGharahbaghian, Rasha Hindiyeh, Dina Seif, Cyurs Shahparwill join forces with Shahram Lotfipour, MD, to create The "UCI

EMIG Southern California Conference." This conference willexpose medical students to the field of emergency medicinethrough a full day of lectures and hands-on simulations. Thefocus of the simulations will be the response to a cardiac emer-gency and the sequence of events that follow. Medical stu-dents from programs at University of California, Los Angeles,University of Southern California, University of California,Irvine, Loma Linda University, University of California, SanDiego, and Western University will be encouraged to partici-pate. It is expected that approximately 200 medical studentswill attend, along with many EM faculty and residents from thevarious Southern California EM Programs.University of South AlabamaNilam Patel, with guidance from Frank Pettyjohn, MD, willorganize the “Immersion Workshop in Emergency Medicine,” afive-day lecture series and skills laboratory. With the intent toprovide medical students with a foundation to use in theircareer decisions, the series of lectures will use case scenariosto focus on the diagnosis and treatment of common or inter-esting injuries and illnesses that present to the ED. The fiveday course will be offered to 25-30 medical students, taught byEM attendings, and will include workshops on suturing andstapling, ultrasound techniques, the use of slit lamp andwood's lamp, basic airway management, and splinting.University of UtahAlvin Kwok, MS2, and Susan Stroud, MD, will offer a lectureseries that exposes medical students to various aspects ofemergency medicine. Lectures will describe the specialty fromthe perspectives of EP’s who practice rural medicine, interna-tional medicine, cruise ship medicine, sports medicine, pedi-atric EM, research, medical informatics, toxicology, and EMSand aeromedical transport. Additionally, the group will offerEM faculty-taught workshops that will include venipuncture, IVplacement, basic suturing, and airway management.Washington University School of Medicine, St. LouisSusan Wilcox, MS4, with guidance from Lawrence Lewis, MD,will offer medical students the opportunity to design and writea text for future use in the EM rotation. This text will providethe basic material in a format that is conducive to the medicalstudents’ style of learning. Each text section will be highlight-ed by educational goals, topic outlines, visual cues such asradiography, ultrasound, photographs, and appropriatemnemonics. In addition, the text will provide information abouton-line references related to the subject matter. Where possi-ble, the text will be converted into PDA compatible program-ming and will be made available online at all of the 102 com-puter terminals within the Barnes-Jewish Hospital ED.Chapters will be formatted to facilitate bi-monthly group dis-cussion, which will be led by senior level EM residents and fac-ulty.

The Medical Student Interest Group grants were developed to recognize and assist the development of medical student interestgroups for medical students interested in a career in emergency medicine. Applications must focus on educational activities orprojects related to undergraduate education in emergency medicine and funds may be used for supplies, consultation and seedmoney to support activities such as skill laboratories, lectures, or workshops. Funding cannot be used for salary or institutionaloverhead.

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Professing on a Milestone in Emergency MedicineGlenn C. Hamilton, MDWright State UniversitySAEM Board of Directors

The listing of Full Professors ofEmergency Medicine in this issue of theSAEM Newsletter deserves a momentof contemplation. For a specialty thathas been boot strapping itself up theacademic ladder for the last 35 years,this listing represents the combinedaccomplishments and institutionalrecognition of literally hundreds of indi-viduals who have dedicated themselvesand much of their lives to the specialtyof Emergency Medicine.

The significance of such a list can beplaced in better context by matching itsgrowth against the other major growthparameters we use to measure aca-demic success in Emergency Medicine.Choosing a not so arbitrary year of1986, the specialty had 67 ACGMEapproved residency programs. We nowhave 132, nearly a doubling. In 1986there were 13 full academicDepartments of Emergency Medicine in

US medical schools. Now, there are 64,a nearly 5 fold increase; an impressiveaccomplishment in itself.

But in 1986, the year I joined theranks of Full Professors, there were 10in the United States. Now there are 175.That’s stunning growth at the highestlevels of academe.

The unique value of this accomplish-ment by academic emergency physi-cians and recognition from their institu-tions is that it has come from our aca-demic peers. This achievement is notpolitics, it is performance; a perform-ance based on criteria established byeach institution as a defining statementof its values and its rewards to thosewho fulfill them.

Each Full Professor also representsan accomplished individual who person-ally engages and influences dozens ofother individuals at all levels of academ-ics everyday. Our growth as educators

for medical under-graduates and postgraduates and in national and interna-tional spheres of research, have beencentral to the academic heritage we’veestablished in Emergency Medicine.These now accepted academic normswere originated, nurtured, and sus-tained by those individuals who are rec-ognized in this listing.

Please take a moment to readthrough this list and reflect on the dedi-cation, innovation, persistence, and sac-rifice that characterizes each individual.View this list as a challenge for thosenot yet named here. The academic pathis exciting, the challenges significant,but most importantly the rewards last alifetime and beyond. Congratulations toall of those Full Professors who havegone before so others can explore theeven broader frontiers of the scienceand educational opportunities inEmergency Medicine.

List of EM Professors Now AvailableGregory P. Conners, MD, MPH, MBAUniversity of RochesterSAEM Faculty Development Committee

At the request of the SAEM Board ofDirectors, the Faculty DevelopmentCommittee has been compiling a list offull professors of emergency medicinefor the SAEM website. This project wasinitiated under the leadership of Dr. LeeGarvey and is being continued by hissuccessor, Dr. Frank Counselman. Thelist includes professors of departmentsand sections of emergency medicine.The principle purpose of this list is toprovide references for those being con-sidered for promotion to full professor.The list can also serve as a source forconsultants, department chair candi-

dates and award nominees or recipi-ents, and has a variety of other potentialuses.

The Committee began the processby obtaining names of full professorsfrom academic departments with emer-gency medicine residency programs.Further information was obtained fromthe Internet and other publishedsources. A preliminary list has beencompiled, and has been posted on theSAEM website, at www.saem.org.Although the committee has carefullycompiled this preliminary list, we apolo-gize if anyone has been inadvertently

omitted or information is incorrect.Further, we recognize that the list willrequire continuous updating. Pleasereview this preliminary list and informSAEM about changes or additions [email protected]. If you have com-ments regarding the format or potentialuses of the list, you may contact theproject subcommittee chairman,Gregory P. Conners, MD, MPH, MBA [email protected] anticipate having the complete list offull professors ready by early 2004.

Fellowship, Clerkship, and Residency Catalog Updates Requested The Emergency Medicine Fellowship

and Undergraduate Rotation Lists onthe SAEM website are very popular.These lists are updated continuously,but it is difficult to ascertain if any insti-tutions are being missed. If your institu-tion has an emergency medicine fellow-ship or offers a clerkship, please take a

few moments to review these sites andcontact SAEM at [email protected] withcorrections or additions. TheFellowship List can be found atwww.saem.org/services/fellowsh.htmand the Undergraduate Rotation Listcan be found at www.saem.org/rotation/contents.htm

The Residency Catalog is alsoundergoing its annual update.Residency directors are encouraged toupdate their institution’s listing prior tothe upcoming interview season. TheResidency Catalog can be found atwww.saem.org/rescat/contents.htm.

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Academic AnnouncementsSAEM members are encouraged tosubmit Academic Announcements onpromotions, research funding, and otheritems of interest to the SAEM member-ship. Submissions should be sent [email protected] by December 1, 2003to be included in the January/February2004 issue.

James Amsterdam, DMD, MD, MMM,has been appointed Chair, Departmentof Emergency Medicine and EmergencyService Line Director at York Hospital in York, Pennsylvania. Dr. Amsterdam wasformerly head, Emergency MedicineDepartment, HealthPartners MedicalGroup/Regions Hospital and Professorand Vice-Chair, Department ofEmergency Medicine at the Universityof Minnesota.

Brent Asplin, MD, MPH, has beenappointed the Department Head andDirector of the Emergency Center atRegions Hospital in St. Paul, Minnesota.He will continue to direct research atRegions, as well as taking an active rolein the Department of EmergencyMedicine at the University of Minnesota.

John Bibb, MD, has been re-elected toa three-year term on the Board of theDirectors of the American College ofEmergency Physicians. Dr. Bibb is anemergency physician at Cedars-SinaiMedical Center in Los Angeles.

Diane Birnbaumer, MD, has beenawarded the 2003 Award forOutstanding Contribution in Educationby the American College of EmergencyPhysicians. Dr. Birnbaumer isProfessor of Medicine, University ofCalifornia, Los Angeles.

Janice Blanchard, MD, AssistantProfessor of Emergency Medicine at the Department of Emergency Medicine atGeorge Washington University hasreceived a $365,000 grant from theRobert Wood Johnson Minority FacultyDevelopment program. The grant will befour years in length and will study howlocal and federal safety net fundingimpact access to care.

Richard N. Bradley, MD, MedicalDirector-Emergency Center, MemorialHermann Hospital has been promotedto Clinical Associate Professor in theDepartment of Emergency Medicine atthe University of Texas-Houston MedicalSchool.

Josh Broder, MD, Assistant Professorof Emergency Medicine in theDepartment of Emergency Medicine atthe University of North Carolina atChapel Hill, has been named AssistantResidency Program Director.

Ami K. Dave, MD, and Linda Regan,MD, have been named AssistantResidency Directors of the New YorkUniversity/Bellevue Hospital CenterEmergency Medicine residency pro-gram in New York, New York.

Marsha D. Ford, MD, has been award-ed the 2003 Council Meritorious Service Award by the American College ofEmergency Physicians. Dr. Ford isClinical Professor of EmergencyMedicine and Director of the CarolinasPoison Center at Carolinas MedicalCenter.

Alan T. Forstater, Clinical AssistantProfessor of Emergency Medicine atJefferson Medical College, has beenappointed Vice Chair for Clinical Affairsin the Department of EmergencyMedicine.

Mark W. Fourre, MD, will become theAssociate Director of the EmergencyMedicine residency program at MaineMedical Center on November 1, 2003.Dr. Fourre is an Associate ClinicalProfessor of Surgery at the University ofVermont.

Angela F. Gardner, MD, has beenelected to a three-year term on theBoard of Directors of the AmericanCollege of Emergency Physicians. Dr.Gardner is an emergency phsycain atWise Memorial Hosptial in Decatur,Texas.

Jeffrey G. Graff, MD, has assumed thePresidency of the American Board ofEmergency Medicine, having been amember of the ABEM Board of Directors since 1996. Dr. Graff is the Head of theDivision of Emergency Medicine atEvanston northwestern Healthcare, andAssociate Professor in the Section ofemergency Medicine at NorthwesternUniversity Feinberg School of Medicine.

In October Brian Hancock, MD,assumed the Presidency of theAmerican College of EmergencyPhysicians, suceeding George Molzen,MD.

James E Hayes, MD, has been award-ed the 2003 James D. Mills OutstandingContribution to Emergency MedicineAward by the American College ofEmergency Physicians.

Mark Henry, MD, has been awarded the2003 Award for Outsanding Contributionin EMS by the American College ofEmergency Physicians. Dr. Henry is thechair of the Department of EmergencyMedicine at State University of New Yorkat Stoney Brook.

Cherri Hobgood, MD, has received the2003-04 Teaching Faculty Award fromthe University of North Carolina Schoolof Medicine. She has also received the2003 EMRA Excellence in TeachingAward and has been appointed chair ofthe Senior Elective Committee for theSchool of Medicine.

Nicholas J. Jouriles, MD, has beenelected to a three-year term on theBoard of Directors of the AmericanCollege of Emergency Physicians. Dr.Jouriles is a core faculty member atAkron General Medical Center.

Arthur L. Kellermann, MD, MPH, hasbeen re-elected to a three-year term on the Board of Directors of the AmericanCollege of Emergency Physicians. Dr.Kellermann is Professor and Chair ofthe Department of Emergency Medicineat Emory University.

Brent R. King, MD, Chair, Departmentof Emergency Medicine at theUniversity of Texas - Houston MedicalSchool and Service Chief of EmergencyMedicine at Memorial HermannHospital Emergency Center has beenpromoted to Professor of EmergencyMedicine at the University of Texas -Houston Medical School.

Bernard Lopez, MD, MS, AssociateProfessor of Emergency Medicine atJefferson Medical College, has beennamed Vice Chair for Academic Affairsin the Department of EmergencyMedicine. Dr. Lopez is also theAssistant Dean for Student Affairs andCounseling.

Cindy Mears, RN, MA, has beenappointed Instructor in the Departmentof Emergency Medicine at theUniversity of North Carolina at ChapelHill. She was formerly Nurse

(continued on next page)6

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Consultant, at the Health ResourcesServices Administration, Injury andEMS Branch in Washington, DC.

John Moorhead, MD, has been award-ed the 2003 John G. WiegensteinLeadership Award by the AmericanCollege of Emergency Physicians. Dr.Moorhead is professor of EmergencyMedicine, Public Health and PreventiveMedicine at Oregon Health and ScienceUniversity.

Mark G. Moseley, MD, MHA, has beenappointed by the Council of Emergency Medicine Residency Directors to serveas one of two Emergency Medicine rep-resentatives on the Organization ofResident Representatives of theAssociation of American MedicalColleges. Dr. Moseley is a second year resident at Emergency Medicine resi-dency program at the Christiana CareHealth System.

As of November 1, Andrew D. Peron,MD, will become the Residency Director at the Emergency Medicine residencyprogram at Maine Medical Center.

Ralph Riviello, MD, AssistantProfessor of Emergency Medicine atJefferson Medical College, has beenpromoted to Director of ClinicalResearch.

Arthur B. Sanders, MD, MHA, hasbeen awarded the Award forOutstanding Contribution in Researchby the American College of EmergencyPhysicians. Dr. Sanders is Professor ofEmergency Medicine at the Universityof Arizona.

Steven A. Seifert, MD, has been pro-moted to Professor in the Department of Surgery, Section of EmergencyMedicine, at the University of Nebraska Medical Center and appointed MedicalDirector of the Nebraska RegionalPoison Center in Omaha, an AAPCC-certified regional poison center servingNebraska and Wyoming.

Todd Taylor, MD, has been elected to atwo-year term as the Vice Speaker ofthe Council of the American College ofEmergency Physicians.

Debora Travers, RN, MSN, PhD, hasbeen appointed Associate ResearchProfessor in the Department ofEmergency Medicine, University ofNorth Carolina at Chapel Hill, where shewill continue her research into triagesystems and chief complaint taxonomy.

Anna Waller, ScD, has been promotedto Associate Research Professor in theDepartment of Emergency Medicine atthe University of North Carolina atChapel Hill. She is also program chairfor the Injury Control and EmergencyHealth Services section for theAmerican Public Health AssociationAnnual Meeting, which will be held inNovember.

Brian Zink, MD, has been appointedAssociate Chair for Education in theDepartment of Emergency Medicine atthe University of Michigan. Dr. Zink willretain his position as Assistant Dean forMedical Student Career Developmentand Director of Student BiomedicalResearch Programs in the University ofMichigan Medical School.

Academic Announcements (Continued)

In Memoriam: Peter Safar (1924-2003)Norman Abramson, MDUniversity of Pittsburgh

The wonder of Peter Safar's pro-fessional life is not in the remarkableaccomplishments recorded in hisCV - as they were too numerous torecount. Nor even in the fact thatduring his life he affected so manyother lives. Certainly, Peter's untir-ing efforts affected survival andquality of life for patients throughoutthe world - accomplishment enoughfor history to judge a man great. Andone could look at the number of col-leagues with whom he worked (and

whom he inspired) and the impressive numbers of grants theyhave obtained or papers they have published. Again, accom-plishment enough for any great man.

But, to my thinking, these are not the only, nor indeed themost important, metrics by which to measure the greatness of

this man. Peter's truly unique accomplishment, which tran-scends the traditional academic battle of the CV bulge, is theemotional connection he inspired among his friends (as hewould call them) - not only toward himself, but toward eachother. These "friends of Peter" have grown into a vast networkof colleagues, all committed to continuing inquiry and researchinspired by Peter's visions. But, most amazingly, this group hasalso transformed into a world of true friendships. Friends whotreasure each other on a personal level, as well as on the basisof shared academic and intellectual goals.

Peter was a catalyst in the lives of so many. His passingtouches so many. But Peter's immortality is assured. For thoseof us fortunate enough to have known him will continue in hisfootsteps and will continue to affect others, who in turn willaffect others. And this cycle will continue as long as man's bat-tle against premature death continues. And so will continue thememory and impact of a great man.

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2003 Midwest Regional MeetingRobert Satonik, MDSynergy Medical Education Alliance/Michigan State UniversityMary Jo Wagner, MDSynergy Medical Education Alliance/Michigan State UniversityCo-Chairs, Midwest Regional Meeting

The Synergy Medical Education Alliance/Michigan StateUniversity was honored to host the 13th Annual MidwestRegional Society of Academic Emergency Medicine meetingon September 19, 2003. There were over 160 registrants from23 EM residency programs and 7 states for the one-day eventheld at Saginaw Valley State University’s Curtiss Hall. Notably,two generations were part of the Regional Meeting. Dr. HowardFreed and his son, Chip, an undergraduate student both pre-sented projects. The variety and quality of research presentedduring the 55 oral and poster abstracts were impressive. Theresearch award winners were:

Best oral presentation

Jason Stoner, MD, fellow at Ohio State University, “MyocardialContractile Function During Post-Ischemic Low FlowReperfusion: Critical Thresholds of NADH and 02 delivery.”

Best poster presentation

Tania Sadoun, medical student at Finch University of HealthSciences/The Chicago Medical School, “English LanguageProficiency among Latino Patients in the ED.”

Best resident presentation

Dennis Bishop, MD, resident at St John Hospital and Medical

Center Emergency Medicine Residency Program, “What arethe Effects of Timing of Antibiotic Administration in PneumoniaPatients?”

Best student presentation

Joanelle Lugo, medical student at University of Michigan,“Effect of O-antigen on Klebsiella Pneumoniae Bacterium inMice.”

One of the highlights of the conference was the inspiringkeynote address given by Dr. Glenn Hamilton, Professor andChair of Emergency Medicine at Wright State University, on“Education at the Bedside: Art and Life-long Responsibility.”Participants also found time to participate in the METI/ECSSimulator Lab practicing their hand at a simulated difficult air-way case. The medical student track included lectures on“Finding an EM Residency” and “Taming the ApplicationProcess”, as well as an opportunity to have lunch with severalprogram directors. The Innovations in Education section high-lighted some teaching projects and research in student andresident education.

Next year’s meeting will be sponsored by the MedicalCollege of Wisconsin in Milwaukee, Wisconsin, on September9-10, 2004 at the Wyndham Milwaukee Center Hotel.

Call for NominationsDeadline: February 3, 2004

Nominations are sought for the Hal Jayne Academic Excellence Award and the Leadership Award. These awards will be pre-sented during the SAEM Annual Business Meeting in Orlando. Nominations for honorary membership for those who havemade exceptional contributions to emergency medicine are also sought. The Nominating Committee wishes to consider asmany exceptional candidates as possible. Nominations may be submitted by the candidate or any SAEM member.Nominations should include a copy of the candidate’s CV and a cover letter describing his/her qualifications. Nominationsmust be sent electronically to [email protected]. The awards and criteria are described below:

Academic Excellence AwardThe Hal Jayne Academic Excellence Award is presented toan individual who has made outstanding contributions toemergency medicine through research, education, andscholarly accomplishments. Candidates will be evaluated ontheir accomplishments in emergency medicine, including:1. Teaching

A. Didactic/BedsideB. Development of new techniques of instruction or

instructional materialsC. Scholarly worksD. PresentationsE. Recognition or awards by students, residents, or peers

2. Research and Scholarly AccomplishmentsA. Original research in peer-reviewed journals

B. Other research publications (e.g., review articles, bookchapters, editorials)

C. Research support generated through grants and con-tracts

D. Peer-reviewed research presentationsE. Honors and awards

Leadership AwardThe Leadership Award is presented to an individual who hasdemonstrated exceptional leadership in academic emer-gency medicine. Candidates will be evaluated on their lead-ership contributions including:1. Emergency medicine organizations and publications.2. Emergency medicine academic productivity.3. Growth of academic emergency medicine.

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2003 New York Regional MeetingMonica Parraga, MDMetropolitan Hospital Center

The 3rd Annual New York StateRegional SAEM meeting was held onApril 9, 2003 in New York, NY. The meet-ing was hosted by the New York MedicalCollege (NYMC) Department ofEmergency Medicine at MetropolitanHospital Center.

The conference attracted partici-pants from 16 Emergency MedicineResidency Programs in the NY/NJ met-ropolitan area, as well as programs fromMassachusetts, Pennsylvania, andOhio. This conference was the largestto date with over 300 participants,including faculty, residents, medical stu-dents, and administrators. Participantsevaluated the overall program as excel-lent and extremely informative. Therewere 87 poster and 12 platform presen-tations.

Gregory Almond, MD, MPH, MS, act-ing chair of the Department ofEmergency Medicine at NYMC, provid-ed opening remarks. Carlos Camargo,MD, DrPH, director of the EMNetCoordinating Center at MassachusettsGeneral Hospital, presented thekeynote address, “Update on AcuteAsthma”.

Highlights were lectures by PaulVisnintainer, PhD, Professor of Practice,NYMC Department of QuantitativeSciences and Michelle Biros, MD, MS,Editor-in-Chief of Academic EmergencyMedicine. Dr. Visintainer presented“Introduction to Statistical Methods,” fol-lowed by Dr. Biros’ lecture on “EthicalIssues Related to Informed Consent inEmergency Medicine Research.”

During the lunch session, partici-pants had the opportunity to review theposter presentations while area medicalstudents attended the medical studentsession. Thomas F. Burke, MS, from theNew York State Council on GraduateMedical Education presented a sessionon the Empire Clinical ResearchInvestigator Program. After the meetingwas adjourned, over 60 pre-registeredparticipants attended an airway work-shop under the direction of WilliamLevin, MD.

We are pleased to announce that the4th Annual New York State RegionalSAEM meeting will be hosted by St.Luke’s-Roosevelt Hospital CenterDepartment of Emergency Medicine.

2003 Mid-Atlantic SAEM Research ConferenceDavid Milzman, MDGeorge Washington UniversityCo-chair, Mid-Atlantic Regional Meeting

The 6th Annual Mid-AtlanticConference hosted by the GeorgeWashington University Department ofEmergency Medicine on March 14-15 inWashington, DC took on a new formatand was an overwhelming success. Themeeting was co-chaired by JeremyBrown and Dave Milzman who did awaywith the traditional poster sessions andallowed all accepted papers to be pre-sented orally in either a usual 15 minuteoral presentation with discussion(reserved for the 8 plenary papers) or abriefer 5 minute; 6 slides maximum forall other presentations. There were atotal of 110 abstract submissions with56 accepted for presentation from 24different programs. Notably, RobertO’Connor out-submitted everyone with7 accepted abstracts. The presenterswho traveled furthest were RobinSamaddar, Martin DeKort and DrewGarth, all from Maricopa in Phoenix.

The meeting was opened by RobShesser, chair of the Department ofEmergency Medicine at GeorgeWashington University, who introduceda senior Congressional Legislative Aideto discuss: “Medical Liability Reform”.The plenary session was highlighted bythe winning overall paper from JamesMenegazzi, University of Pittsburgh, on“Immediate Countershock After

Prolonged V Fib.” There were six addi-tional oral sessions each with 10papers. The paper sessions were: trau-ma, education and administration, clini-cal practice, cardiac/critical care,EMS/prehospital and pediatrics andsubspecialties. The following facultyprovided outstanding review as modera-tors: Rich Shih (Morristown), DaveMilzman (George WashingtonUniversity/Georgetown), Rob O’Connor(Christiana-Delaware), Barb Sorondo(Einstein-Philadelphia), Jim Menegazzi(University of Pittsburgh), RobertFrench (George Washington University),Antonio Muniz (Virginia CommonwealthUniversity) Neil Jassani (Christiana-Delaware), Michele Ervin (HowardUniversity), Jim Scott (GeorgeWashington University), Howard Freed(Howard University), Bonnie Baron,(State University of New York-Downstate), Eileen Quintana (Einstein-Philadelphia) and Jeff Smith (GeorgeWashington University).

The afternoon included a MedicalStudent Session (run by Rich Shih,Yolanda Haywood, and Neil Jassani)which was packed out the doors withstudents and extremely well received onthe “How to, Nuts and Bolts ofResidency Applications.” An additionalsession on “Opportunities in Traffic

Safety Research” was delivered by anoutstanding group from NHTSA: SueMcHenry, J. Barker and M. Gunnels andmoderated by Gregg Margolis (GeorgeWashington University). Dr. Rosenthal(University of Maryland), Dr. Pines(University of Virginia) and Dr. Siegal(George Washington University)reviewed Research and Funding oppor-tunities and Paul Jansen ofCardioDynamics gave an extremelyinteresting view of How a Med-TechCorporation views research and market-ing.

The conference ended with the pres-entation of awards. The Best ResidentPaper was presented to Bradley Smudeof St. John’s Hospital in Detroit on “DoMedicaid Patients Seek More lowestAcuity ED Care and Uninsured NeedHighest Acuity ED Care”. The Studentwinner was Nelson Becerra of HowardUniversity for “The Relationshipbetween Liquor Establishments andEMS Runs for Acute AlcoholIntoxication”. Additionally, Jesse Pines,(a PGY-2 from University of Virginia)was recognized for outstanding achieve-ment for delivering a plenary paper andleading a didactic discussion of his suc-cessful Research Associate programs.

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Resident Group Discount Membership ParticipationJames Adams, MDNorthwestern UniversitySAEM Secretary/Treasurer

On behalf of the Board of Directors, I would like to thank the residency programs that have elected to participate in the residentgroup discount membership. These 70 programs bring 2,205 resident members to the Society. This program provides residentswith invaluable exposure to all facets of academic emergency medicine. Each resident member receives subscriptions toAcademic Emergency Medicine and the SAEM Newsletter, plus a discounted registration fee to attend the Annual Meeting. Theparticipating programs are:

Akron General Medical CenterAlbany Medical CenterAlbert Einstein Medical Center, PhiladelphiaAllegheny General HospitalBeth Israel DeaconessBoston University Carolinas Medical Center Christ HospitalChristiana Care Health SystemCooper HospitalDuke UniversityEast Carolina UniversityEastern Virginia Medical CenterEmory UniversityHennepin County Medical CenterHoward UniversityIndiana University Johns Hopkins UniversityLong Island Jewish Medical CenterLouisiana State University - Baton RougeLouisiana State University - Charity HospitalMaimonides Medical Center Maricopa Medical Center Medical College of VirginiaMedical College of WisconsinMetroHealth/Case Western Reserve University Michigan State University-Kalamazoo Newark Beth Israel Medical CenterNew York Methodist HospitalNorth Shore UniversityNorthwestern UniversityOhio State University Oregon Health and Science UniversityPalmetto Richland Memorial Hospital Regions Hospital

Resurrection Medical Center Spectrum Health/Grand Rapids-MERC St. John HospitalSt. Luke's Roosevelt Hospital CenterSt. Vincent Mercy Medical CenterStanford University/Kaiser PermanenteState University of New York, Stony Brook State University of New York, Buffalo State University of New York, Downstate/Kings County State University of New York, Syracuse Synergy Medical Education AllianceTexas Tech UniversityThomas Jefferson UniversityUniversity of Alabama, Birmingham University of ArizonaUniversity of Arkansas University of California - San DiegoUniversity of Chicago University of Cincinnati University of ConnecticutUniversity of Michigan University of New MexicoUniversity of North Carolina - Chapel Hill University of PennsylvaniaUniversity of Pittsburgh University of VirginiaUniversity of Rochester Wake Forest University Wayne State University/Detroit Medical Center Wayne State University/Sinai-Grace West Virginia UniversityWilliam Beaumont Hospital Wright State University Yale New Haven Medical CenterYork Hospital/Pennsylvania State University

Academic Department Established at New York UniversityRobert M. Glickman, MD, Dean of the

New York University School of Medicine,is pleased to announce the establish-ment of a new Department ofEmergency Medicine at New YorkUniversity (NYU) School of Medicine.

Lewis R. Goldfrank, MD, Professor ofEmergency Medicine has been appoint-ed Chair of the new Department. AtBellevue Hospital, Tisch Hospital, andthe Department of Veterans AffairsMedical Center, a highly dedicated staff

of over 40 attending physicians, 60nurses, 64 emergency medicine resi-dent physicians, and scores of othercaregivers from New York Universitytreat more than 130,000 emergencypatients annually. Dr. Goldfrank will soonbegin his 25th year as Director ofEmergency Medicine at BellevueHospital and NYU Medical Center. Hebecame Director of the Department ofEmergency Medicine at Morrisania CityHospital in the Bronx in 1973. He later

served as Director of EmergencyMedicine at North Central BronxHospital and Montefiore Hospital. In1979, he was appointed the first full-time Director of Emergency Medicine atBellevue and NYU Medical CenterHospitals. Dr. Goldfrank is also a mem-ber of the Institute of Medicine of theNational Academy of Sciences and in2003 was among five NYU faculty mem-bers who received New York University'sDistinguished Teaching Award.

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Mentoring for Clinician EducatorsIris Reyes, MDHospital of the University of PennsylvaniaSusan Farrell, MDBrigham and Women’s HospitalWendy C. Coates, M.D.Harbor-UCLA Medical CenterFor the SAEM Undergraduate Education Committee

Current State of Mentorship for Clinician-EducatorsThe mentoring relationship historically has been noted to beessential for a successful academic career as a researcher orclinician-scientist. Until recently, the role of mentors for clini-cian-educators has been poorly defined. Factors contributingto this include the lack of defined career goals for clinician edu-cators and the lack of clear institutional promotion criteria forthose pursuing this track. Many universities recognize the keyrole played by clinician-educators and are formulating aca-demic promotion series that recognize excellence in this area.It is imperative that junior faculty who desire academic successidentify one or several mentors to aide them in the achieve-ment of their goals and the successful academic advance-ment.

Advice on Seeking a MentorThe responsibility of seeking a mentor lies squarely on theshoulders of the protégé. Factors essential in success with thisendeavor include:

1. Self-assessment of one’s abilities: Self-reflectionallows the protégé to identify areas or particular char-acteristics that may promote or impede success. Theprotégé who is hard working, self-confident, and self-sufficient is much more attractive to a potential men-tor than one who is dependent and lacking in self-esteem. A protégé must be willing to commit timeand energy to projects that will be beneficial toachieving overall career goals, and must be willing tonetwork and establish collaborative alliances.

2. Development of career goals: Knowledge of the insti-tution’s values, norms, and promotion requirementsfor the clinician-educator track (if available) includingteaching, research, and clinical expectations can helpthe protégé identify strengths and deficiencies. Theprotégé may seek out a mentor with expertise inareas that require further development.

3. Identification of potential mentor(s): Mentors canserve as sources of inspiration, support, motivation,and promotion of critical thinking. They can assist innetworking, and should be familiar with the goals andexpectations for the track in which a protégé is seek-ing promotion. Mentors should be successful in theirown professional endeavors and have access toresources that can assist the protégé in obtaining hisor her goals. To identify potential mentor(s), it may behelpful to enlist the help of the chair of one’s homedepartment. The specific qualities desirable in a men-tor should be considered.

The Beginning of the Mentoring RelationshipOnce a potential mentor has been identified, a meeting may bearranged to outline career goals and aspirations. A description

of the protégé’s current academic status and expectations ofthe mentoring relationship will be useful. The protégé shouldrespect the mentor’s time constraints and be well-prepared foreach encounter. If the potential mentor is unable to take onadded responsibilities, he or she may be able to recommendanother qualified individual. Most successful mentors recog-nize the reciprocal benefits of this relationship and welcome itas a challenge and positive aspect of their academic careers.

Looking AheadWith the assistance of the newly identified mentor, the protégécan begin to become an established member of the medicaleducation network. Interaction with colleagues both within thehome institution and externally allows for the opportunity toencounter other potential mentors and collaborators. Severalmentors may serve various roles in one’s quest for academicsuccess. As the protégé advances in his or her career, thelessons learned in the mentoring relationship can then beexpanded to the next generation. This continued network ofcollaboration can only serve to strengthen the skills and aca-demic advancement of clinician-educators in our specialty. Anexpanded article on mentorship for the clinician-educator canbe found on the SAEM website atwww.saem.org/inform/emmse.htm

Further reading1. Hazzard WR: Mentoring across the professional lifespan in

academic geriatrics. JAGS 1999;47:1466-1470.

2. Levinson W, Kaufman K, Clark B, Tolle SW: Mentors androle models for women in academic medicine. West J Med1991;154:423-426.

3. Neumayer L, Levinson W, Putnam C: Mentors for women insurgery and their effect on career advancement. Curr Surg1995;52:163-166.

4. Palepu A, Friedman RH, Barnett RC, Carr PL, Ash AS et al:Medical faculty with mentors are more satisfied. (Abstract)J Gen Int Med 1996;11:107.

5. Palepu A, Friedman RH, Barnett RC, Carr PL Ash AS et al:Junior faculty members’ mentoring relationships and theirprofessional development in U.S. medical schools. AcadMed 1998;73:318-323.

6. Chew LD, Watanabe JM, Buchwald D, Lessler DS: Juniorfaculty’s perspectives on mentoring. Acad Med2003;78:652.

7. Wilkerson L, Irby DM: Strategies for improving teachingpractices: a comprehensive approach to faculty develop-ment. Acad Med 1998;73:387-396.

8. Beasley BW, Wright SM, Cofrancesco J, Babbott SF,Thomas PA et al: Promotion criteria for clinician-educatorsin the United States and Canada. JAMA 1997;278:723-728.

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Opportunities Through the AACEM Consult ServiceGlenn Hamilton, MDWright State UniversityChair, AACEM Consulting Service

Since the Association of AcademicChairs in Emergency Medicine(AACEM) was founded in 1989, theConsult Service of the Association hashad an active role. The primary focus ofthis service is to assist academic med-ical centers in establishing academicdepartments of emergency medicine inthe United States and Canada. Theservice has had a contributing role inthe development of several departmentsand is currently at various stages of dis-cussion with three or four sites consid-ering this important decision. TheAACEM and SAEM Consult Serviceshave worked closely together.

The Consult Service’s activitiesinclude:1. Overview assessment of the status

of emergency medicine in an aca-demic medical center to determinethe suitability and timing for evolvingto academic departmental status.

2. Assisting divisions or other institu-tional entities in developing a pro-posal for development of an aca-demic department in the institution.

3. Site surveys to assist the division aswell as the Dean’s office and hospi-tal administration in their decisionmaking regarding the potential and

appropriate time table for develop-ment of an academic department.

4. Discussions at any level of decisionmaking with emergency medicineleadership about the approach,negotiations, documentation andtimeframe of developing an aca-demic department.

The actual consultation consists oftwo current Academic Chairs ofEmergency Medicine who are selectedconjointly by the consult service and theinstitution. These Chairs usually spendtwo days at the site and develop a reportregarding the specific questions askedof them. Current fees for this serviceare $1,500 per individual per day plusovernight expenses. In addition, $500 iscontributed to AACEM for administrativepurposes.

One significant accomplishment ofthe service was to develop a mono-graph entitled “Establishing theAcademic Department of EmergencyMedicine: Commentary on Five Phasesof Development”. The monographreviews the five major phases of devel-opment beginning five years before andcontinuing five years after the actualestablishment of an academic depart-ment. This useful monograph is avail-

able on the AACEM section of theSAEM website at www.saem.org.

Currently, the consult service isdeveloping a listing of current sites thatmay have the potential for evolving fromtheir current institutional status into aformal Academic Department ofEmergency Medicine. Contacts withindividuals in emergency medicine atthese sites will be made over the nextseveral years.

Emergency Medicine essentiallydoubled its number of academic depart-ments in the 1980’s and doubled thatnumber again in the 1990’s. Currently,there are 63 academic departments inthe United States in 124 medicalschools. This leaves the opportunity forone more doubling to ensure the com-plete integration of emergency medicineinto academic medicine throughout thecountry.

Please contact me if you may havean interest in discussing the potential ofan academic Department of EmergencyMedicine at your institution. The full tal-ent and capability of the AACEM isdirected toward this most importantgoal.

Peter Chase, MD, PhD, reading AEM while on active dutyat the Combat Support Hospital, Bagram, Afghanistan.

Doug McGee, DO, the National CPC Coordinator is pictured with the2003 Final CPC Competition winners and runners-up. Pictured (L-R)Best Presenter: Catherine McLaren, MD, Stanford/Kaiser; BestDiscussant runner-up: David FE Stuhlmiller, MD, Case WesternReserve University; Dr. McGee, Best Presenter runner-up: MoneeshBhow, MD, Albert Einstein at Beth Israel Medical Center; and BestDiscussant: Jeffrey Suchard, MD, University of California, Irvine

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SAEM Ethics ConsultationService

Emergency physicians are faced with countless ethi-cal dilemmas. We make choices based not only on ourknowledge but also on our personal beliefs and valuesystems. These decisions are made in typical emer-gency medicine style--- we think, we decide, we act, andwe move on. We feel confident that we have actedappropriately, based on a reasoned assessment of thecircumstances and the strengths of our convictions. Weact in good faith, and hope that we have acted wiselyand justly.

Occasionally, an ethical issue arises that is outsideour world view or consideration, or a situation confrontsus that makes us uncomfortable. We may lack the knowl-edge to make a reasonable choice, we may be facedwith something totally out of our experience, or we feelat a loss because we cannot determine the possibleoptions. We may witness an ethically questionable act,may observe unprofessional and possibly harmfulactions, may disagree about the correctness of another’sdecision, or may feel we ourselves are being subjectedto exploitation, abuse, or other unethical behavior. Suchsituations are frightening; it is difficult to distinguish real-ity from perception, to know who can be approached foradvice, or where resources can be found to assist indeveloping an appropriate response.

Some institutions have committees or other authori-tative bodies designed to examine grievances, allega-tions of scientific misconduct or specific ethical dilem-mas in clinical practice.

The advice of these groups, however, may have lim-ited applicability to emergency medicine; they may notinclude emergency physicians, or have the expertise torelate to the unique aspects of the ethics of emergencymedicine. In addition, these groups are charged withdeveloping a response to a particular crisis that has aris-en locally. They are goal directed and not necessarilyable to provide a thoughtful method to educate beyondthe concrete response to the problem at hand.

For these reasons, SAEM has developed an EthicsConsultation Service. The Ethics Consultation Serviceis available to assist SAEM members with questionsconcerning ethical issues or decisions they must makeduring the course of their clinical, academic or adminis-trative responsibilities.

Opinions from the Ethics Consultation Service will beoffered to SAEM members in a timely manner; requestsfrom nonmembers will be considered on a case by casebasis. The opinions rendered are not meant to be partof an ‘appeal process.’ This service is offered to SAEMmembers who may need advice or assistance whenfaced with a difficult ethical decision.

All communications with the Ethics ConsultationService will be anonymous and confidential. However,because many ethical issues confronting emergencyphysicians are universal in their scope, and others maylearn from the issue presented, we hope to develop aseries of articles for publication for the Society, assum-ing that confidentiality can be maintained. All requests,inquires, or correspondence should be directed [email protected].

Call for NominationsSAEM Elected Positions

Deadline: February 5, 2004Nominations are sought for the SAEM elections which willbe held in the spring of 2004. The Nominating Committeewill select a slate of nominees based on the following cri-teria: previous service to SAEM, leadership potential,interpersonal skills, and the ability to advance the broadinterests of the membership and academic emergencymedicine. Interested members are encouraged to reviewthe appropriate SAEM orientation guidelines (Board,Committee/Task Force or President-elect) to consider theresponsibilities and expectations of an SAEM electedposition. Orientation guidelines are available atwww.saem.org or from the SAEM office.

The Nominating Committee wishes to consider as manycandidates as possible and whenever possible will selectmore than one nominee for each position. Nominationsmay be submitted by the candidate or any SAEM memberand should include the candidate’s CV and a cover letterdescribing the candidate’s qualifications and previousSAEM activities. Nominations must be submitted electron-ically to [email protected] and are sought for the followingpositions:

President-elect: The President-elect serves one year asPresident-elect, one year as President, and one year asPast President. Candidates are usually members of theBoard of Directors.

Secretary/Treasurer: The Secretary/Treasurer will beelected for a three-year term on the Board. Candidatesare often members of the Board of Directors.

Board of Directors: Two members will be elected tothree-year terms on the Board. Candidates should have atrack record of excellent service and leadership on SAEMcommittees and task forces.

Resident Board Member: The resident member is elect-ed to a one-year term. Candidates must be a resident dur-ing the entire term on the Board (May 2004-May 2005)and should demonstrate evidence of strong interest andcommitment to academic emergency medicine.Nominations should include a letter of support from thecandidate’s residency director.

Nominating Committee: One member will be elected toa two-year term. The Nominating Committee selects therecipients of the SAEM awards (Young Investigator,Academic Excellence, and Leadership) and develops theslate of nominees for the elected positions. Candidatesshould have considerable experience and leadership onSAEM committees and task forces.

Constitution and Bylaws Committee: One member willbe elected to a three-year term, the final year as the chairof the Committee.The Committee reviews the Constitutionand Bylaws and makes recommendations to the Board foramendments to be considered by the membership.Candidates should have considerable experience andleadership on SAEM committees and task forces.

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ACADEMIC RESIDENTNews and Information for Residents Interested in Academic Emergency Medicine

Edited by the SAEM GME Committee

For most senior residents, the curriculum vitae (CV)serves as the official summary of professional accomplish-ments, as well as a personal introduction to prospectiveemployers. Emphasis should be placed on neatness, clarity,and organization. Carefully proofread for typographical errorsand grammar problems. A well-constructed CV will look fineon high quality bond paper off a laser printer; the expense ofa professional printer is unnecessary. Avoid the frills that willdetract from your message. Use an easily readable font of atleast 10 point size, since your potential employer is often of acertain age where magnifiers or bifocals have come in to play,and he or she most likely does not like to be reminded of thiswhen reviewing your CV. Note that if you already have your“dream job” wrapped up, typically the result of being intro-duced to a program alumnus who is directing a desirableemergency department in the right location, your CV can per-haps be more brief, containing the essentials such as educa-tional background, licensure, and references.

The following organizational scheme is one of many:

Personal Information: name, birth date, marital sta-tus, children (names and ages), birthplace, spouse(and occupation), email address, home and profes-sional address, and home and work phone numbers.Much of this information is not required by law; how-ever, you create a better composite for the employerif you provide this information. Do not list your socialsecurity number.

Education: Start with residency and work back-wards (or vice versa). List dates of attendance andlocation. It may sound odd, but be sure that you getthe correct title of your residency program; ask yourprogram director if you are not sure.

Licensure: List the state(s), whether permanent ortemporary, and inclusive dates, but do not list licensenumbers on your CV.

Certifications: As you probably will not be boardcertified in a specialty, you won’t have much to listhere. However, you are likely a diplomate of theNational Board of Medical Examiners (passed allthree parts of USMLE). You also may choose to list“merit badges” here (ACLS, ATLS, APLS, etc.).Many program directors are not happy with the needto list these on a CV as other than “CME,” but manyprospective employers want to see this information,so placate them.

Professional Activities**: This includes member-ships in medical organizations and anything that youdid that gives an appreciation of your level of involve-ment in hospital, residency, regional, and nationalmedical organizations. Examples include member-ship on residency, hospital, or society committees,interview committees for the residency program,teaching in the medical school, teaching paramedicsand EMT’s, etc. Many also list volunteer work for themedical school or the community in this part of theirCV. Be careful not to inflate your entries as theemployer often genuinely wants to know what yourlevel of commitment was. Most residents areinvolved with EMS during their training. List this ifyou were assigned to a specific EMS agency andparticipated to a significant extent. Some also listgrand rounds and other presentations given in thissection though this information is better presented ina separate section entitled “Lectures andPresentations”.

(Research and) Publications**: Give a brief,straightforward compilation of what you’ve done andthe resultant publications. The alternative is to simplylist your publications- the employer will ask you aboutthe research and your level of participation if that isimportant to the particular opportunity you areexploring. Abstract presentations should be listedhere, but be sure that these are listed as abstracts,e.g. typical citation followed by “(abstract)”. Grantsmay also be included in this section. Include publi-cations submitted and accepted, but not publishedyet (in press).

Professional Work Experience**: List title as “res-ident physician”, who you worked for, dates of work,and size of the ED (# visits). If your program has youperform clinical work that may have added marketvalue, e.g. “flight physician, University HospitalAeromedical Network” go ahead and add this infor-mation. Add work experience prior to residency if itmay add to your “expertise” or marketability or over-all life experiences.

Extracurricular Activities**: These could add tothe possibility that a human interest bond is generat-ed, but may work against you as well. For instance,if you enjoy rebuilding old cars, and your prospectiveemployer also enjoys this hobby, you instantly attractextra attention. Conversely, an employer may look

How to Prepare an Effective CVDavid S. Howes, MDCarey D. Chisholm, MDFor the GME Committee

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down on an activity such as hunting and listing thiscould have the opposite effect. Being a member ofPhysicians for Social Responsibility may not sitwell with a group comprised of card-carrying NRAmembers. If you are tightly attached to a geo-graphic area, think twice about this section as youdon’t want to limit any job possibilities. If you aren’tready to grovel for geography, let them know whoyou are…if you are not going to fit in with a group,you would rather know that up front.

If you have developed a particular expertise, consideradding this to this section. As an example, if you havebecome adept at a particular software package, mention it.Some ED groups may have a specific need for memberswith HTML, database, or other experience.

Professional References: List a minimum of three(names, title, address, e-mail address, phone number, anddates of involvement). Obviously ask your referencesahead of time to confirm they would comfortably serve asone (don’t take this for granted). The vast majority of jobsexpect to have the residency program director as one of thereferences.

** A résumé differs from a CV in supplying more detailabout activities. For instance, you may list “Chair, XX com-mittee” on your CV, but a reader most likely will not haveany idea what that means. In a résumé you provide adescription about what you actually did and accomplishedin this role. In essence, it provides the details of your role.

On the initial approach a CV is sufficient, but a follow-upcontact may be enhanced by the addition of a “resume.” In

essence, this provides elaboration and explanation of thehighlights raised in your CV. For instance, if you are serv-ing as a committee chair or an EMS system associate med-ical director, use the resume to explain what exactly thatposition entails. This could include time commitments andaccomplishments.

Your CV should be accompanied by a concise cover letterthat explains who you are and why you are interested in thisspecific opportunity. Describe your current work environ-ment. An example: “I have had extensive clinical experiencein two ACS Level I Trauma centers with over 200,000 com-bined visits per year during my residency training. 20% ofED patients are admitted and 30% of admissions are to anICU.” Your program director will help you with the numbers,though this information is often found on your residencywebsite. Keep in mind that the cover letter is your intro-duction to a prospective employer and outlines why he orshe should want to hire you.

A word about professional recruiters: unless you intend touse a recruiter’s services, do not offer your CV. Casual con-versations can be lead to unintended consequences: it hasbeen reported that unethical recruiters have constructed aCV based on a brief phone conversation, and then circulat-ed this CV without the resident’s knowledge. In this cir-cumstance, if you were to subsequently (and independent-ly) find a job at a hospital to which your CV was circulated,your group may be obligated to pay the recruiter a “findersfee” (up to $50,000). That money might have been offered(or may have been negotiated by you) as a moving andsigning bonus.

Nominations Sought for Resident Member of the SAEM Board of DirectorsThe resident Board member is elect-

ed to a one-year term and is a full votingmember of the SAEM Board ofDirectors. The deadline for nominationsis February 3, 2004.

Candidates must be a resident dur-ing the entire one-year term on theBoard (May 2004-May 2005) and mustbe a member of SAEM. Candidatesshould demonstrate evidence of stronginterest and commitment to academic

emergency medicine. Nominationsshould include a letter of support fromthe candidate’s residency director, aswell as the candidate’s CV and a coverletter. Nominations must be sent elec-tronically to [email protected]. Candi-dates are encouraged to review theBoard of Directors orientation guidelineson the SAEM web site at www.saem.orgor from the SAEM office.

The election will be held via mail bal-

lot in the Spring of 2004 and the resultswill be announced during the AnnualBusiness Meeting in May in Orlando.

The resident member of the Boardwill attend four SAEM Board meetings;in the fall, in the winter, and in the spring(at the 2004 and 2005 SAEM AnnualMeetings). The resident member willalso participate in monthly Board con-ference calls.

Residency Vacancy ServiceThe SAEM Residency Vacancy Service was established more than ten years ago to assist residency programs andprospective emergency medicine residents. The Residency Vacancy Service is posted on the SAEM website atwww.saem.org. Residency programs are invited to list their unexpected vacancies or additional openings by contactingSAEM. SAEM monitors and updates the listings. Prospective emergency medicine residents are invited to review theselistings and contact the residency programs to obtain further information. Listings are deleted only when the residencyprogram informs SAEM that the position(s) are filled.

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Robert Wood Johnson Health Policy Fellowships ProgramThe Robert Wood Johnson Health

Policy Fellowships Program provides anopportunity for outstanding mid-careerhealth professionals to gain an under-standing of the health policy process, tocontribute to the formulation of new poli-cies and programs, and to develop intheir careers as leaders in academichealth centers and in health policy.Initiated in 1973, the program is fundedby The Robert Wood JohnsonFoundation (RWJF) and conducted bythe Institute of Medicine (IOM) of theNational Academies.

The program seeks individuals whohave the skills and commitment to usethe fellowship experience to provideleadership in improving health, health

care and health policy at the national,state or local levels and to bring a depthof experience and knowledge of healthand health care to the policy makingprocess. Fellows are selected from aca-demic faculties and nonprofit healthcare organizations, with backgrounds inthe following disciplines: medicine, den-tistry, biomedical sciences, nursing:public health; social and behavioralhealth; health services organizationsand administration; allied health profes-sionals; economics; or other social sci-ences. Up to 10 fellows will be selectedto participate in the Washington-basedprogram which begins in September,2004 and concludes in August, 2005with the option for extending through the

legislative term (which ends in Octoberor early November).

Application materials must be submit-ted by mail for receipt no later thanFriday, November 21, 2003. For com-plete information on this fellowshipopportunity, eligibility requirements andthe application process go tohttp://www.rwjf.org/cfp/healthpolicyfellows or contact Andrea Jean Douglas, M.P.H. – Deputy Director at [email protected]

The Robert Wood JohnsonFoundation – Making grants to improvethe health and health care of allAmericans. http://www.rwjf.org

Janhigen Career Development Scholars AwardsThe Dennis W. Jahnigen Scholars

program, funded by the John A. HartfordFoundation and The AtlanticPhilanthropies, offers two-year careerdevelopment awards to support facultyin the specialties of anesthesiology,emergency medicine, general surgery,gynecology, ophthalmology, orthopedicsurgery, otolaryngology, physician med-icine and rehabilitation, thoracic sur-gery, or urology. Each grant providestwo-year salary support of $75,000 peryear for salary and fringe benefits, plus$25,000 per year to support costs of

doing research. Up to ten awards will begiven in 2004. No funds will be provid-ed in support of indirect costs.

Candidates must be physicians whoare U.S. citizens or permanent resi-dents, be certified to practice in one ofthe above-mentioned specialties, havea primary academic appointment in aU.S. institution in one of the above-men-tioned specialties and must have com-pleted his/her training (residency and/orfellowship) on or after June 30, 1994.Exceptions to this limit will be consid-ered for compelling reasons and must

be reviewed and approved prior to appli-cation submission. Nominations are tobe made by the individual’s departmen-tal chair. Only one application may besubmitted per department, however,institutions may submit more than oneapplication.

The application deadline is December9, 2003. Applications and further infor-mation can be found athttp://www.americangeriatr ics.org/hartford/scholars_award.shtml. In 2003emergency physicians were awardedtwo of the Janhigen Scholars awards.

Call for Abstracts 4th Annual New York State

Regional SAEM MeetingMarch 31, 2004; 8:00 am-2:00 pm

The program committee is now accepting abstractsfor oral and poster presentations. All abstracts must besubmitted electronically via the SAEM web site atwww.saem.org.

The deadline for abstract submission is 5:00 pmEastern Standard Time, Wednesday, January 21,2004.Hosted by: St. Luke’s-Roosevelt Hospital Center,Department of Emergency MedicineLocation: Lerner Hall, Morningside Campus, ColumbiaUniversity, 114th Street and BroadwayKeynote Speaker: Glenn Hamilton, MD, Wright StateUniversityContact: Theodore C. Bania, MD, MS at RooseveltHospital, 1000 10th Ave., Department of EmergencyMedicine, Room GE01, New York, NY 10019 or [email protected]

The SAEM Newsletter is mailed every other month to the 5,500members of SAEM. Advertising is limited to fellowship and academicfaculty positions.

Deadline for receipt: December 5 (January/February), February 1(March/April), April 1 (May/June), June 1 (July/August), August 1(September/October) and October 1 (November/December). Adsreceived after the deadline can often be inserted on a space availablebasis.

Advertising Rates:Classified Ad (100 words or less)Contact in ad is SAEM member ................................................$100Contact in ad non-SAEM member ............................................$1251/4 - Page Ad (camera ready)3.5" wide x 4.75" high..............................................................$300

To place an advertisement, e-mail or fax the ad, along with contactperson for future correspondence, telephone and fax numbers, billingaddress, ad size, and Newsletter issues in which the ad is to appearto: Carrie Barber at [email protected], via fax at (517) 485-0801. Formore information or questions, call (517) 485-5484.

All ads posted on the SAEM web site at no additional charge.

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The Ethics Corner: Relationships with Consultants Jason Hughes, MDTexas Tech UniversityCatherine A. Marco, MDSt. Vincent Mercy Medical Center

This month’s issue of The Ethics Cornerreviews a commonly encountered prob-lem in emergency medicine. As pay-ment for physicians decreases, and asnon-paying patients’ visits to the emer-gency department increase, financialpressures may have effects on consult-ants’ willingness to be available foremergency consultations. In the fewparagraphs below, you will see how thiscan become an ethical problem andhow it can adversely affect the appropri-ate practice of medicine. Teaching andmentoring residents and students aboutinteractions with colleagues is anessential component of emergencymedicine education. Didactic sessions,case studies, role-play, and real-timementoring can all be effective compo-nents of education related to appropri-ate interactions with colleagues. Typesof difficult consultants can be dividedinto three categories. Brief suggestionson how to deal with the different con-cerns are offered.

Type #1: What is the patient’s insurancestatus?Unfortunately, financial concerns oftenmotivate consultants. Reimbursementfor services is important to all physi-cians, and this is often a legitimate con-cern. However, “financial triage”, oravailability for consultations based oninsurance status, is unethical in emer-gency medicine. Often, reorienting theconsultants’ viewpoint to the clinicalneeds may help diffuse this concern.Overall, reimbursement issues are bet-ter addressed on a departmental andinstitutional level in an organized fash-

ion, rather than making individual treat-ment decisions based on reimburse-ment.

Type #2: You Messed up MyPatient….So Why Should I Admit Him ?A recent case illustrates this category ofdifficulties. In a recent encounter with ageneral surgeon, it was noted that apatient arrived to the emergency depart-ment with a bleeding wound. That sameday, this general surgeon had taken asmall cyst out of the groin of the patient.However, it bled copiously, and directpressure would only suffice for a shorttime…until the patient’s systolic bloodpressure dropped to 70 mmHg. Thewound, which had been left open andpacked, was then sutured by the emer-gency physician in order to obtainhemostasis. The words from the sur-geon? “That is so stupid…you don’tknow basic first aid…maybe you shouldget a basic first aid course….there is noway I’m going to admit this patient. Sheshould go home.” Unfortunately, attimes, a consultant may be unwilling toassume care of a patient with a poten-tially adverse outcome. Effective man-agement techniques may include estab-lishing common goals (“we both wantwhat’s best for Mrs. J.”), consultation atthe bedside, calm, rational speech, anda nonjudgmental demeanor.

Type #3: Just Write Some Orders andI’ll See Her in the Morning….In many emergency departments, con-trary to the position statements of bothAAEM and ACEP, emergency physi-cians still write orders to “hold over” the

patient until the admitting physician orconsultant arrives. This can be counter-productive to expedient and expertmedical care, as we are consultingbecause we seek expertise in the mat-ter. Writing orders can entail medicole-gal risk, but there is an ethical concernas well. If the physician at home will notcome in, and if the patient deterioratesthroughout the night, the emergencyphysician’s name will be the only one onthe chart. The ethical principle is sim-ple: taking responsibility for the patientat the appropriate time seems to be theonly correct stance. This can be accom-plished by phone orders directly to thenurse or by directly writing orders in themedical record. Either way, orders arewritten or verbalized and care has beensmoothly transferred.

SummaryInteractions with colleagues and con-sultants can be challenging. Educationin emergency medicine should includeeffective strategies for improving inter-actions with colleagues and thus,patient care.

The Ethics Committee invites com-ments, as they may become a center-piece for our next Ethics Corner article.Important to realize that we have anEthics Committee that will be glad toperuse any issue you may find concern-ing. Feel free to consult us or contact usat [email protected]. Theentire committee will then be informedof the concern and we will ensure atimely reply.

Call for AdvisorsThe inaugural year for the SAEM

Virtual Advisor Program was a tremen-dous success. Almost 300 medical stu-dents were served. Most of themattended schools without an affiliatedEM residency program. Their “virtual”advisors served as their only link to thespecialty of Emergency Medicine.Some students hoped to learn moreabout a specific geographic region,

while others were anxious to contact anadvisor whose special interest matchedtheir own.

As the program increases in popular-ity, more advisors are needed. New stu-dents are applying daily, and over 100remain unmatched! Please considermentoring a future colleague by becom-ing a virtual advisor today. It is a brieftime commitment – most communica-

tion takes place via e-mail at your con-venience. Informative resources andarticles that address topics of interest toyour virtual advisees are available onthe SAEM medical student web site.You can complete the short applicationon-line at http://www.saem.org/advisor/index.htm. Please encourage your col-leagues to join you today as a virtualadvisor.

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Update on SAEM Consult ServiceGlenn C. Hamilton, MDWright State UniversityChair, SAEM and AACEM Consulting Services

The last newsletter included descrip-tions of the services offered by theSAEM and AACEM Consult Services.Beyond describing the services, it isimportant to be aware that these servic-es are actively being requested andhave demonstrated their value at a vari-ety of institutions throughout the coun-try. The SAEM Consult Service has hadone of its most active years in assistingprograms develop their proposals fornew residency programs through theACGME. Of these several new propos-als recently reviewed by the RRC-EM,we had direct consultative involvementin the majority of them, and a significantsuccess rate in assisting programstoward reaching the approval level. Bypre-reviewing the Program InformationForms, we have improved the qualityand content of the submissions to theACGME. The “mock site surveys,” inadvance of site surveyors coming to

review a program being considered fornew approval, have also clearly demon-strated their value.

In addition, we have continued toserve established programs. Having theRRC-EM review one’s program every 3,4, or 5 years is a tremendous amount ofwork and a valuable means of sustain-ing the excellence and consistencyessential for success in our GME pro-grams. Pre-reviews of the ProgramInformation Form and mock site surveysserve an important function in preparingfor these surveys, and also help educateindividuals throughout the institution.

To improve consistency and assist ineducating SAEM consultants, the serv-ice has written and distributed theSAEM “Consulting Service Guide forConsultants.” This guide outlines thescope of the service and its structure, aswell as offering general and specificconsultation guidelines. Several appen-

dices (some from the SAEM web site)give guidance on structuring a consultand some of the expectations of theACGME. This guide represents anothermeans by which the service has movedtoward improving its quality.

Currently, the service has sufficientconsultants for the requests. If you areinterested in serving in this role, pleasecontact either Mary Ann Schropp [email protected], or Glenn Hamilton,MD, at [email protected] consultants have been intheir roles for at least two years, haveparticipated in an RRC-EM or JAHCOreview at their home institution, and/orserved as a specialist site surveyor forthe ACGME.

The SAEM Consult Service contin-ues to serve academic emergency med-icine programs. We look forward to theopportunity of offering our expertise atyour institution in the near future.

Emergency Medicine Activities at the AAMC Annual Meeting The Association of Academic Chairs

of Emergency Medicine (AACEM) andthe Society for Academic EmergencyMedicine (SAEM) have developed anumber of excellent educational ses-sions to be held during the AAMCAnnual Meeting in Washington, DC inNovember. All emergency physiciansare invited to attend the sessions at nocharge. However, pre-registration isrequired for the lunch session.Members interested in attending mustregister electronically by sending an e-mail to [email protected]

The emergency medicine sessionswill be held on Saturday, November 8 atthe Washington Hilton in theConservatory Room. The schedule is asfollows:

AACEM and SAEM have cospon-sored a panel entitled, “The Role ofAcademic Medical Centers Serving thePublic’s Health: Emerging Threats andOpportunities.” The panel will be held at8:00-10:00 am and the speakers willinclude: Christina Beato, MD, DeputyAssistant Secretary of Health,Department of Health and HumanServices; Georges Benjamin, ExecutiveDirector, American Public HealthAssociation; and Elliot Sussman, MD,

incoming chair, Council of TeachingHospitals and President and CEO ofLehigh Valley Hospital, Allentown, PA.Dr. Richard Carmona, Surgeon Generalof the United States, has also been invit-ed (and is expected) to participate in thepanel session. This session will explorethe role of the Emergency Departmentin the interplay between governmentalagencies and health care systems in theareas of bio-terrorism, defense surveil-lance and access to emergency care.Governmental leaders will participate ina panel with academic emergencyphysicians and public health experts, inan effort to share perspectives and con-cerns about how the emergency depart-ments of academic health centers willplay an important role in the bio-defenseneeds of the country while continuing toaddress concerns about access andpublic health.

AACEM will sponsor a second ses-sion entitled, “Emergency Medicine andIt’s Role in Public Health, EmergingInfections and Bioterrorism.” This ses-sion, building on the discussion of thefirst session, will be held at 10:30-11:30am. The speaker is Georges Benjamin,the Executive Director of the AmericanPublic Health Association. Dr. Benjamin

is an Emergency Physician and formerDirector of the Health Department ofMaryland. He will discuss the role ofemergency medicine and its emergingpartnership and leadership with publichealth in such critical areas as surveil-lance and preparedness.

AACEM will sponsor a lunch sessionin the Grant Room from 11:30 am until1:00 pm entitled, “NIIH GrantOpportunities and Process.” The speak-er will be Don Schneider, PhD, Director,Division of Molecular and CellularMechanisms, Center for ScientificReview, National Institutes of Health.AACEM and SAEM members are invit-ed to learn more about the NIH processand organization so that researcherscan enhance their probability of suc-cess.

While there is no charge to attendthe AACEM and SAEM sessions, thereis a registration fee to attend the AAMCAnnual Meeting, which will be heldNovember 7-12. The theme of theAAMC Annual Meeting will be “OurQuest for Access and Quality." The reg-istration fee before September 15 is$375 and $425 after September 15.Information regarding registration canbe found at www.aamc.org.

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EMF Grants AvailableThe Emergency Medicine Foundation (EMF) grant applica-tions are available on the ACEP web site at www.acep.org.From the home page, click on “About ACEP,” then click on“EMF,” then click on the “EMF Research Grants” link for a com-plete listing of the downloadable grant applications. The fund-ing period for all grants is July 1, 2004 through June 30, 2005.

EMF Directed Research Reducing Medical Errors AwardThis request for proposals specifically targets research that isdesigned to reduce medical errors in the emergency depart-ment setting. The highest priority will be given to proposalsthat directly evaluate interventions to reduce medical errorsand utilize quantitative outcome measures to assess effective-ness. Proposals may focus on specific patient populations, dis-ease processes or hospital system components. Studies thatpropose to only identify errors without a plan to evaluate out-comes or investigate interventions will not be considered.Applicants may apply for up to $100,000 funding. The fundswill be disbursed semi-annually over the two-year cycle.Deadline: December 19, 2003. Notification: April 5, 2004.

Riggs Family/Health Policy Research GrantBetween $25,000 and $50,000 for research projects in healthpolicy or health services research topics. Applicants may applyfor up to $50,000 of the funds, for a one- or two-year period.The grants are awarded to researchers in the health policy orhealth services area, who have the experience to conductresearch on critical health policy issues in emergency medi-cine. Deadline: December 19, 2003. Notification: April 5,2004

Resident Research Grant A maximum of $5,000 to a junior or senior resident to stimu-late research at the graduate level. Deadline: December 19,2003. Notification: April 5, 2004.

Career Development GrantA maximum of $50,000 to emergency medicine faculty at theinstructor or assistant professor level who needs seed money

or release time to begin a promising research project.Deadline: January 16, 2004. Notification: April 5, 2004.

Research Fellowship GrantA maximum of $75,000 to emergency medicine residencygraduates who will spend another year acquiring specific basicor clinical research skills and further didactic training researchmethodology. Deadline: January 16, 2004. Notification:April 5, 2004.

Neurological Emergencies GrantThis grant is sponsored by EMF and the Foundation forEducation and Research in Neurological Emergencies(FERNE). The goal of this directed grant program is to fundresearch based towards acute disorders of the neurologicalsystem, such as the identification and treatment of diseasesand injury to the brain, spinal cord and nerves. $50,000 willbe awarded annually. Only clinical applications will be consid-ered - no basic science applications will be accepted.Deadline: January 16, 2004. Notification: April 5, 2004.

Medical Student Research GrantThis grant is sponsored by EMF and SAEM. A maximum of$2,400 over 3 months is available for a medical student toencourage research in emergency medicine. Deadline:February 6, 2004. Notification: April 5, 2004.

ENAF Team GrantThis grant specifically targets research that is designed toinvestigate the topic of ED overcrowding. Proposals may focuson a number of related areas, including: definitions and out-come measures of ED overcrowding, causes and effects of EDovercrowding, and potential solutions to the problem of EDovercrowding. Applicants must provide evidence of a true col-laborative effort between physician and nurse professionalsand must delineate the relative roles of the participants interms of protocol development, data collection, and manu-script preparation. A maximum of $20,000 will be awarded.Deadline: January 16, 2004. Notification: April 5, 2004.

Call for SubmissionsInnovations in Emergency Medicine Education Exhibits

2004 Annual MeetingDeadline: February 11, 2004

The Program Committee is accepting Innovations in Emergency Medicine Education (IEME) Exhibits for consideration ofpresentation at the 2004 SAEM Annual Meeting, May 16-19, 2004 in Orlando. Submitters are invited to complete an appli-cation describing an innovative new educational methodology that they have designed, or an innovative educational appli-cation of an existing product. The exhibit should not be used to display a commercial product that is already available andbeing used in its intended application. Exhibits will be selected based on utility, originality, and applicability to the teachingsetting. Commercial support of innovations is permitted but must be disclosed. IEME exhibits will not be published inAcademic Emergency Medicine with other abstracts, but will be published in the on-site program. However, if submittershave conducted a research project on or using the innovation, the project may be written up as a scientific abstract and sub-mitted for scientific review in the appropriate subject category by the January 6 deadline.

The deadline for submission of IEME Exhibit applications is Wednesday, February 11, 2004 at 5:00 pm Eastern Time.Only online submissions using the form on the SAEM website at www.saem.org will be accepted. For further informationor questions, contact SAEM at [email protected] or 517-485-5484 or via fax at 517-485-0801.

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SAEM 2004 Research Grants

Research Training Grant This grant provides financial support of $75,000 per year for two years of formal, full-time research training for emer-gency medicine fellows, resident physicians, or junior faculty. The trainee must have a concentrated, mentored pro-gram in specific research methods and concepts, and complete a research project. Deadline: November 3, 2003.

Institutional Research Training GrantThis grant provides financial support of $75,000 per year for two years for an academic emergency medicine pro-gram to train a research fellow. The sponsoring program must demonstrate an excellent research training environ-ment with a qualified mentor and specific area of research emphasis. The training for the fellow may include a for-mal research education program or advanced degree. It is expected that the fellow who is selected by the applyingprogram will dedicate full time effort to research, and will complete a research project. The goal of this grant is tohelp establish a departmental culture in emergency medicine programs that will continue to support advancedresearch training for emergency medicine residency graduates. Deadline: November 3, 2003.

Scholarly Sabbatical Grant This grant provides funding of $10,000 per month for a maximum of six months to help emergency medicine facultyat the level of assistant professor or higher obtain release time to develop skills that will advance their academiccareers. The goal of the grant is to increase the number of independent career researchers who may further advanceresearch and education in emergency medicine. The grant may be used to learn unique research or educationalmethods or procedures which require day-to-day, in-depth training under the direct supervision of a knowledgeablementor, or to develop a knowledge base that can be shared with the faculty member’s department to further researchand education. Deadline: November 3, 2003.

Emergency Medical Services Research FellowshipThis grant is sponsored by Medtronic Physio-Control. It provides $60,000 for a one year EMS fellowship for emer-gency medicine residency graduates at an SAEM approved fellowship training site. The fellow must have an in-depthtraining experience in EMS with an emphasis on research concepts and methods. The grant process involves areview and approval of emergency medicine training sites as well as individual applications from potential fellows.Deadline: November 3, 2003.

Neuroscience Research FellowshipThis grant is sponsored by AstraZeneca. It provides one year of funding at $50,000 for an emergency medicine res-ident, graduate, or junior faculty member to obtain a mentored research training experience in cerebrovascular emer-gencies. The research training may be in basic science research, clinical research, or a combination of both, and thementor need not be an emergency medicine faculty member. Completion of a research project is required, but theemphasis of the fellowship is on the acquisition of research skills. Deadline: November 3, 2003.

EMF/SAEM Medical Student Research GrantsThis grant is co-sponsored by the Emergency Medicine Foundation and SAEM. It provides up to $2,400 over 3months for a medical student to encourage research in emergency medicine. More than one grant is awarded eachyear. The trainee must have a qualified research mentor and a specific research project proposal. Deadline:February 6, 2004.

Geriatric Emergency Medicine Resident/Fellow GrantThis grant is made possible by the John A. Hartford Foundation and the American Geriatric Society. It provides upto $5,000 to support resident/fellow research related to the emergency care of the older person. Investigations mayfocus on basic science research, clinical research, preventive medicine, epidemiology, or educational topics.Deadline: March 5, 2004.

Further information and application materials can be obtained via the SAEM website at www.saem.org.

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Important Notice to Current andFormer ABEM Diplomates

Emergency Medicine Continuous Certification (EMCC) willbegin in 2004.

All diplomates who want to maintain their certification withABEM beyond the current expiration date must participatefully in the EMCC program.

Effective 2004, the licensure requirement for all diplomateswill change. Diplomates will be required to continuouslymaintain a current, active, valid, unrestricted, and unquali-fied license in at least one jurisdiction in the United States,its territories, or Canada, and in each jurisdiction in whichthey practice. Inactive medical licenses voluntarily held byphysicians are in compliance with the Policy on MedicalLicensure.

Physicians eligible for ABEM recertification under currentrules will maintain eligibility under EMCC. The written recer-tification examination as it currently exists will be offered forthe last time on November 2, 2003.

A special option will be available only from 2004-2006 forformer diplomates to regain their diplomate status throughparticipation in EMCC. Former diplomates must begin theirparticipation in EMCC in 2004 to take advantage of thisoption.

A full description of EMCC including details of diplomates’participation requirements are available on the ABEM web-site http://www.abem.org. Questions should be directed to:American Board of Emergency Medicine, 3000 CoolidgeRoad, East Lansing, MI 48823, or call 517-332-4800 [email protected].

The Top 5 Most-Frequently-Read Contents of AEM – September 2003Most-read rankings are recalculated at the beginning of the month. Rankings are based on hits received by articlesarchived on AEMJ.org.

Steven L. Bernstein, Vinu Verghese, Winifred Leung, Anne T. Lunney, Ivelisse PerezDevelopment and Validation of a New Index to Measure Emergency Department CrowdingAcad Emerg Med Sep 01, 2003 10: 938-942. (In "CLINICAL PRACTICE")

E. Brooke Lerner, Anthony J. Billittier, Joan M. Dorn, Yow-Wu B. WuIs Total Out-of-hospital Time a Significant Predictor of Trauma Patient Mortality?Acad Emerg Med Sep 01, 2003 10: 949-954. (In "CLINICAL PRACTICE")

James R. Miner, Michelle Biros, Susan Krieg, Christopher Johnson, William Heegaard, David PlummerRandomized Clinical Trial of Propofol versus Methohexital for Procedural Sedation during Fracture andDislocation Reduction in the Emergency DepartmentAcad Emerg Med Sep 01, 2003 10: 931-937. (In "CLINICAL INVESTIGATION")

Jeffrey S. Jones, Chris Dunnuck, Linda Rossman, Barbara N. Wynn, Michael GencoAdolescent Foley Catheter Technique for Visualizing Hymenal Injuries in Adolescent Sexual AssaultAcad Emerg Med Sep 01, 2003 10: 1001-1004. (In "BRIEF REPORT")

John A. Watts, Jeffrey A. KlineBench to Bedside: The Role of Mitochondrial Medicine in the Pathogenesis and Treatment of CellularInjuryAcad Emerg Med Sep 01, 2003 10: 985-997. (In "SPECIAL CONTRIBUTION")

111122223333

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Newsletter Submissions WelcomedSAEM invites submissions to the Newsletter pertaining

to academic emergency medicine in the following areas:1) clinical practice; 2) education of EM residents, off-serv-ice residents, medical students, and fellows; 3) facultydevelopment; 4) politics and economics as they pertain tothe academic environment; 5) general announcementsand notices; and 6) other pertinent topics. Materials shouldbe submitted by e-mail to [email protected]. Be sure toinclude the names and affiliations of authors and a meansof contact. All submissions are subject to review and edit-ing. Queries can be sent to the SAEM office or directly tothe Editor at [email protected].

Keep Your MembershipMailings Coming!

Be sure to keep the SAEM office informed ofchanges in your address, phone or fax num-bers, and especially your e-mail address.SAEM sends infrequent e-mails to members,but only regarding SAEM issues or activities.SAEM does not sell or release its mailing listor e-mail addresses to outside organizations.Send updated information to [email protected]

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FACULTY POSITIONSCONNECTICUT: University of Connecticut – Two positions--one current/oneSpring 2004. Multi-hospital academic program with 100,000 + patient visits, 36residents. Active Tox, EMS, Hyperbaric, Aeromedical and Trauma services.Excellent opportunities for senior or junior faculty--contact: Robert D. PowersMD MPH, Professor & Chief, UCONN/Hartford Hospital, email:[email protected]

KENTUCKY: The Department of Emergency Medicine at the University ofKentucky is recruiting full-time faculty members at the assistant or associate pro-fessor level. The desired individual must be BE/BC in emergency medicine.Academic tenure track and non-tenure track positions available. The EM resi-dency has full accreditation. The Emergency Department at UK Hospital is aLevel I trauma center, regional referral center, with 40,000 annual visits. Thedepartment has nine full-time faculty and provides medical direction to AirMedical and Hyperbaric Oxygen Programs. Contact: Roger Humphries, MD,Acting Interim Chair, Department of Emergency Medicine, University ofKentucky Medical Center, 800 Rose St., Room M-53, Lexington, KY 40536-0298: phone 859-323-5908; fax 859-323-8056; or E-mail [email protected] are an EOAAE.

MICHIGAN: The Department of Emergency Medicine at the University ofMichigan (UM) is seeking physicians for full time clinical and academic facultypositions in Emergency Medicine at University of Michigan (Ann Arbor, MI),Hurley Medical Center (Flint, MI) and Foote Hospital (Jackson, MI). Academicrank will be determined by credentials. Clinical responsibilities will includepatient care activity in the Emergency Department. Responsibilities includehouse officer and medical student training, and providing direct patient care ina setting providing both primary and tertiary care experience. Applicants shouldhave residency training and/or board certification in Emergency Medicine.Excellent fringe benefit package. If interested, please send curriculum vitae to:William G. Barsan, M.D., Professor and Chair, Department of EmergencyMedicine, UMHS, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0303.EOAAE.

MICHIGAN: Wayne State University School of Medicine, Department ofEmergency Medicine and Pediatrics is seeking a full-time, board prepared/boardcertified medical toxicologist. Responsibilities include clinical practice of med-ical toxicology, Poison Control Center medical coverage, bedside consultativeservices, research, teaching medical students, residents, and fellows. Facultyrank commensurate with credentials. Children’s Hospital of Michigan RegionalPoison Control Center has an annual call volume of more than 70,000. Send CVto: Suzanne White, M.D., Medical Director, CHM Regional Poison ControlCenter, Ste. 616, 4160 John R, Detroit, MI 48201; 313-745-5335; Fax 313-745-5493. Wayne State University is an affirmative action/equal opportunity employ-er.

NEW JERSEY: UMDNJ (Newark) – Come in on the ground floor at a major med-ical school and university hospital. We're planning to start an EM Residency andhave faculty opportunities for Emergency Physicians at ALL LEVELS, includingResidency Director, EMS Director and Director of Clinical Operations. The EDhas an annual volume of 72,000, including 2,700 level I trauma patients.Competitive compensation and benefits package including on-site fitness and-child care centers. For information please contact Ronald Low, MD, MS, at 973-972-7882. UMDNJ-University Hospital is an AA/EOE, M/F/D/V. Visit us on theweb at www.TheUniversityHospital.com.

NEW YORK: Columbia University – Attending Emergency Physician - HarlemHospital Center Emergency Services affiliated with Columbia University, seeksresidency-trained or ABEM-certified Emergency Physicians who have excellentclinical skills, a strong interest in teaching and a commitment to public medi-cine. We are a 290-bed, Level 1 trauma center, regional burn center, EMS-basedstation with over 75,000 annual visits. Ann appointment to the faculty of theColumbia University College of Physicians and Surgeons is anticipated at theInstructor or Assistant Clinical Professor level, commensurate with experience.Competitive salary and benefits package provided. Submit CV to: ReynoldTrowers, MD, Director of Emergency Medicine Services, Harlem HospitalCenter, 506 Lenox Avenue, New York, NY, 10037 or call him at (212) 939-2253.Columbia University takes affirmative action to ensure equal opportunity.

NORTH CAROLINA: University of North Carolina-Chapel Hill (UNC-CH) –Potential for faculty openings for 2004-2005. Rank/salary commensurate withexperience. Successful fixed or tenure-track candidates will be BoardCertified/Board Prepared in Emergency Medicine. UNC Hospitals is a 665-bedLevel I Trauma Center. The Emergency Department sees upward of 44,000 highacuity patients per year. Send CV to: Edward Jackem, MBA, Department ofEmergency Medicine, CB #7594, Chapel Hill, NC 27599-7594. (919) 966-9500. FAX (919) 966-3049. UNC is an Equal Opportunity/ADA Employer.

OREGON: The Oregon Health & Science University, Department of EmergencyMedicine is conducting an ongoing recruitment campaign for talented facultymembers. Entry-level clinical faculty members at the instructor and assistantprofessor level. Preference given to those with fellowship training (especially inpediatric emergency medicine) or equivalent experience. Knowledge of emer-gency medicine as a faculty discipline is expected. Please submit a letter ofinterest, CV, and the names and phone numbers of three references to: Jerris

St. Vincent Mercy Medical Center

Medical Education Fellowship St. Vincent Mercy Medical Center in Toledo OH is pleased toannounce a fellowship opportunity. Our Medical EducationFellowship is designed to train EM residency graduates to besuccessful in a career in academic emergency medicine. Thefellow will work between 60 to 70 clinical hours each month atone of our two residency training sites. The clinicalresponsibilities will include supervising medical students, EMresidents, and off-service rotators. Undergraduate medicaleducation responsibilities will include supervision of the medicalstudent rotations for the EM residency and mentoring of studentsfrom the Medical College of Ohio. The fellow will be expected to complete the Medical EducationScholarship Program at the University of Michigan. This willinvolve spending an afternoon each week with professionals fromthe University’s medical school and Department of Education.Time spent at the University program will earn credits towards aMaster’s degree in Education. The residency will pay tuition andstudent fees. Protected time will be provided to attend classes andcomplete all required projects. We are offering a salary of $80,000 plus benefits. There areadditional clinical opportunities available in the area that couldearn further income. Please call David Ledrick at (419) 251 4204or write to [email protected] if you are interested orfax your CV and cover letter to (419) 251 4211. Applicationdeadline is January 31, 2004.

Faculty PositionCook County Hospital

Department of Emergency Medicine

The Department of Emergency Medicine at CookCounty Hospital is seeking energetic and motivatedcandidates for a faculty position. Applicants must beresidency trained and board certified / eligible inEmergency Medicine. The Department ofEmergency Medicine has 54 residents in a PGY II-IVformat and 26 full time faculty. The EmergencyDepartments care for 120,000 adult, 30,000 pediatricand 5000 Level I trauma patients each year. A new463 bed Cook County Hospital was completed inDecember, 2002 with a state of the art ED electronicinformation system. The department offers a verycompetitive benefit package and protected time topursue educational, administrative and researchprojects. Faculty appointments are at our medicalschool affiliate, Rush Medical College.

Interested candidates should contact: Jeff Schaider,MD, FACEP, Associate Chairman, Department ofEmergency Medicine, Cook County Hospital, 1900West Polk Street 10th floor, Chicago, IL 60612,Telephone - 312 633 5451, [email protected]

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Department of Emergency Medicine

EMS Fellowship The Department of Emergency Medicine (DEM) at theOregon Health & Science University (OHSU) offers one-year or two-year fellowships in Emergency MedicalServices (EMS). OHSU is a Level I trauma center and basestation hospital whose faculty is actively involved in groundand air medical EMS in the three counties surroundingPortland, Oregon. OHSU is a qualified host for theSAEM/Medtronic Physio-Control Fellowship in EMS. Aformal didactic curriculum through the OHSU School ofPublic Health offers individuals the opportunity to earn anMPH degree during the two-year fellowship. Opportunitiesalso exist to combine the clinical and administrativefellowship experience with degree or diploma programs inclinical research, healthy policy, epidemiology, informaticsor business administration. Please contact Mohamud Daya,MD, MS EMS Fellowship Director at OHSU EmergencyMedicine, GH239, 3181 SW Sam Jackson Park Road,Portland, OR 97239-3098; phone (503) 494-7248; [email protected]

Hedges, MD, MS, Professor & Chair, OHSU Department of EmergencyMedicine, 3181 SW Sam Jackson Park Road, CDW -EM, Portland, OR 97239-3098.

PENNSYLVANIA: Lehigh Valley Hospital – position available for EM Residency-trained physician to join cohesive faculty of 33 BC physicians evaluating100,000 patients at the three sites of 700-bed Lehigh Valley Hospital. Academic,tertiary hospital with Level I trauma, 9-bed Burn Center, 10 freestanding, fully-accredited residency programs, including one in EM. Eligibility for facultyappointment at Penn State/Hershey. Resident and medical student teaching, andclinical research. LVH located in the beautiful Lehigh Valley, with 700,000 peo-ple, excellent suburban public schools, safe neighborhoods, moderate cost ofliving, 60 miles north of Philadelphia and 80 miles west of NYC. Email CV c/oRick MacKenzie, MD, Vice Chair, EM, to [email protected]. Fax (610)402-7014. Phone (610) 402-7008.

PENNSYLVANIA: Penn State University College of Medicine & Hershey MedicalCenter – Department of Emergency Medicine is seeking to add experiencedacademic emergency physicians to our internationally known faculty. We areseeking faculty to supplement our research and educational missions and par-ticipate with our newly approved PENN STATE EMERGENCY MEDICINE RESI-DENCY. Physicians must be board certified with some academic experience.Faculty rank will be commensurate with experience. Confidential inquiry toKym Salness, M.D. (Chair) or Christopher J. DeFlitch, M.D. (Vice-Chair),Department of Emergency Medicine, P.O. Box 850 (H043), Hershey, PA 17033,Phone (717) 531-8955 or email [email protected] or www.pennstateemergen-cymedicine.com. AAEOE. Women and minorities are encouraged to apply.

TENNESSEE: Vanderbilt University – RESEARCH DIRECTOR – We are seeking anoutstanding individual to direct our research program. We have required med-ical student rotations, a Level I Trauma Center, Pediatric and Adult ED’s and asuperb residency. We have an active core of researchers with varied academicinterests. The Department is committed to faculty development and well-being.Candidates must be residency trained in emergency medicine and eligible forappointment at the Associate or Full Professor level, depending upon qualifica-tions. We provide great benefits and Nashville is a wonderful city. Protectedacademic time will be provided. Please reply to Corey M. Slovis, M.D.,Chairman, Department of Emergency Medicine, Vanderbilt University, Room703, Oxford House, Nashville, TN 37232-4700, Email: [email protected].

A health place like no place in Maine.

The Department of Emergency Medicine at MaineMedical Center is seeking Emergency Physicians witha demonstrated commitment to patient care, educationand scholarly production for the following positions:

Director of PediatricEmergency MedicineCandidates must be board certified or prepared inEmergency Medicine with additional training in eitherPediatrics or Pediatric Emergency Medicine.

Open RankCandidates must be residency trained in EmergencyMedicine with demonstrated excellence as a clinician,educator and academician. This position will offerprotected time for development of a career in academicEmergency Medicine.This represents a unique opportunity to join a youngacademic department poised for rapid and vigorousgrowth. The department supports a fully accreditedthree-year residency training program and providesemergency care to 52,000 patients annually. MaineMedical Center serves as the trauma center forSouthern Maine and houses the Barbara BushChildren’s Hospital. The current faculty is cohesive,experienced and committed to academic and clinicalexcellence.The great Portland Community, located on the south-ern Maine coast, offers an attractive place to live andpractice academic Emergency Medicine. Interestedcandidates should send (electronic communications arepreferred) a cover letter and curriculum vitae to:Michael A. Gibbs, MD, Department of EmergencyMedicine, Maine Medical Center, 22 Bramhall Street,Portland, ME 04102; Phone: (207) 842-7010; Fax: (207) 842-7025; Email: [email protected]

WWW.MMC.ORG

The MAINEHEALTH Family

Faculty Positions

As a result of continued expansion, The Department of EmergencyMedicine of New York-Presbyterian Hospital - Weill Cornell MedicalCenter is recruiting full time faculty members at the instructor orassistant professor level. The desired individual must be residencytrained and BE/BC in Emergency Medicine.

The successful candidate will join a combined faculty of over 40attending physicians who support our accredited PGY 1-4Emergency Medicine Residency Program. There are unparalledopportunities in research, administration and education on both thegraduate and undergraduate levels. There are also opportunities tocollaborate with other faculty at the 2 medical schools, 2 schools ofPublic Health and other divisions of Cornell and Columbia University.

The Emergency Department of the Weill Cornell Medical Center is anactive department with very high patient acuity. It is both a Level ITrauma Center and teh receiving unit for the largest burn center in thecountry. The ED also sponsors the largest and busiest hospital-based 911 ambulance system in New York City.

Faculty appointment will be at the Weill Medical College of CornellUniversity. A generous compensation package and benefits will beprovided. Please send a letter of interest that addresses career goalsalong with cv to: Neal Flomenbaum, MD, Emergency Physician-in-Chief, New York-Presbyterian Hospital, Weill Cornell Medical Center,525 East 68 Street, New York, NY 10021, 212-746-0780, email:[email protected].

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UNIVERSITY OF COLORADODIVISION OF EMERGENCY MEDICINE

The Division of Emergency Medicine at the University of ColoradoHealth Sciences Center in Denver, Colorado, is proud to announce theAugust 2004 opening of its second clinical practice site at the newEmergency Department on the Fitzsimons Campus.

The University of Colorado's Fitzsimons Campus is the only complete-ly new academic medical center to be built in more than a generation.When completed, Fitzsimons Campus will house the University ofColorado Hospital, the Children's Hospital, the VA Medical Center, theUniversity of Colorado Schools of Medicine, Dentistry, Nursing andPharmacy, and two new biomedical research towers. Fitzsimons isunique in its integration of public and private biotechnology.

The Emergency Department at Fitzsimons will be a state-of-the-art,acute-care clinical facility as well as a laboratory for the developmentof new technologies and pathways in emergency care.

Applications are now being accepted for full-time emergency medicinefaculty to join our dynamic and growing Division. Responsibilitiesinclude clinical practice, teaching of emergency medicine and otherhousestaff as well as scholarship. Clinical and basic research will besupported based on applicants' interest. Faculty applicants must beresidency trained in emergency medicine and be board certified orboard eligible. Compensation is competitive.

Please send curriculum vitae and a brief description of career interestand goals to: Ben Honigman MD, Head, Division of EmergencyMedicine, University of Colorado School of Medicine, B 215, Denver,Colorado 80262; [email protected].

Minorities and women are encouraged to apply. UCHSC is an EOE.

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UNIVERSITY OF CALIFORNIA SAN FRANCISCO

FACULTY RESEARCH POSITION

The Division of Emergency Medicine at UCSF is seeking can-didates for a position in the In-Residence series at the assis-tant professor level, with a career goal of externally fundedemergency medicine research.

UCSF Medical Center is the busiest teaching hospital inpatientservice in San Francisco by a large margin, with 576,000 out-patient visits, and is rated by U.S. News & World Report as oneof the ten best hospitals in the U.S. The EmergencyDepartment is approaching 40,000 visits a year not includingurgent care patients seen in separate adult and pediatric clin-ics. The ED has an established real-time web-based patientclinical research enrollment database, and a complete renova-tion of the physical plant is underway.

A residency in EM is planned for 2005 based at this hospital.There is a long tradition of research and leadership in EM, andcollaboration with other faculty in other departments. Currentlytwo faculty members have NIH funding. Quality of the intellec-tual experience and resources are unmatched, as is the phys-ical and cultural environment of the Bay Area. The successfulcandidate will have an existing track record of research andpublication that promises similar funding in the first few yearsof appointment. Contact Michael Callaham M.D. at Box 0208,University of California San Francisco, San Francisco CA94143-0208 or [email protected].

ACADEMIC EMERGENCY MEDICINE FELLOWSHIP

Due to the expanding need for Academic Emergency Physicians the

University of Florida & Shands Teaching Hospital, Department of

Emergency Medicine are seeking emergency medicine residency trained

or board certified emergency physicians as applicants for our Academic

Emergency Medicine Fellowship at the University of Florida Gainesville.

This teaching hospital emphasizes active involvement with emergency

medicine residents and medical students. Qualified applicants will be

board certified in emergency medicine; preferred applicants will have a

demonstrated academic career interest. More than a research fellowship,

this 2-year program includes training in education, research, EMS and

administration in academic emergency medicine. Fellows will have the

opportunity to complete work for M.S. in Interdisciplinary Biomedical

Science. Fellows will also perform as Faculty while developing bedside

clinical teaching and supervision skills in the ED. Shands at UF is the

hub of a multi-hospital network. Shands at UF Emergency Medicine

provides county EMS direction, interhospital hospital transport including

the ShandsCair aero-medical service, and provides medical support teams

for NASA shuttle launches and landings. Great compensation, great

benefits package, great city!

Our Department is committed to improving diversity in academic

emergency medicine; women and minorities are encouraged to apply.

University of Florida is an Equal Opportunity Employer.

Please send personal statement and CV to:

Kevin L. Ferguson, MD, FACEP, Director of Graduate Medical

Education, University of Florida, Department of Emergency Medicine

P O Box 100186, Gainesville, FL 32610-0392

The Department of Emergency Medicine of Texas TechUniversity School of Medicine is seeking an experiencedEmergency Medicine residency trained physician to assumeleadership of it’s residency program. The program is over twen-ty years old, fully accredited and has twenty-four residents atpresent. The candidate would join 15 EM physicians in theDepartment. Our mission is to prepare residents to be able topractice in any ED in the country. The Department is located inEl Paso, Texas and will soon be incorporated into the new 4 yearmedical school just approved by the state legislature. Our newoffices are under construction on campus and a new $36 millionresearch building is in late design phase for the campus. Ourmain ED is at Thomason Hospital with a patient volume of60,000 visits last year. It is a Level I Trauma Center and is open-ing a new $25 million wing, including the ED Observation Unitnext year. For more information on the residency visithttp://www.elp.ttuhsc.edu/em

Please send a letter, or email, expressing interest to: Matthew J.Walsh, MD, Associate Professor and Chair, Dept. of EM, 6090Surety Dr. #412, El Paso, Texas 79905. [email protected] or phone 915-771-6482.

Texas Tech University is an Equal Opportunity Employer.Women and minorities are encouraged to apply.

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Johns Hopkins Medical Institutions

EMS Fellowship Position

The Department of Emergency Medicine Division of SpecialOperations is accepting candidates for the 2004 EmergencyMedical Services Fellowship. Board eligible emergency trainedphysicians can complete a one-year certificate program or two-year program leading to various Masters programs at the JohnsHopkins School of Public Health (MPH, MS) or School ofProfessional Studies (MBA). The fellow will have a broad range ofexperiences: medical direction and oversight for Johns HopkinsLifeline, the institution's critical care ground and air medical trans-port service; fire department based urban, suburban and rural emssystems exposure; 911 base command facility; mass casualtyevent training; hospital disaster preparedness; clinical facultyappointment to the School of Medicine and tactical operations par-ticipation as an Emergency Services physician with the UnitedStates Secret Service.

The Johns Hopkins Emergency Medicine Residency is one of theoldest academic programs in the country and is the fastest grow-ing department in terms of research dollars in the entire university.For more than a century, Johns Hopkins has been recognized as aleader in patient care, medical research and teaching. The JohnsHopkins Hospital tops U.S News & World Report's "Honor Roll" 13years in a row and the Hopkins Bloomberg School of Public Healthwas voted "Best" public health program in 2003.

Interested candidates are encouraged to contact the fellowshipdirector: Nelson Tang, MD, Department of Emergency Medicine,Johns Hopkins Hospital, 600 North Wolfe Street, Marburg B-186,Baltimore, MD 21205. Telephone 410.955.8708. E-mail:[email protected].

25

ATLANTA, GA

DEPARTMENT OF EMERGENCY MEDICINE

Our academic department continues to grow. Therefore,we are seeking full-time academic emergency physiciansin both research and clinician-educator tracks. Emoryoffers a dynamic and professional environment withspecial strengths in patient care, teaching, communityservice, EMS, toxicology, clinical research, laboratoryresearch, and public health. We offer excellent salary andbenefits. Applicants must be residency trained and/orboard certified in EM. Emory is an equal opportunity,affirmative action employer. Women and minorities areencouraged to apply. For further information visit our website at http://www.emory.edu/em or contact:

Arthur Kellermann, MD, MPH, Professor and ChairDepartment of Emergency Medicine

1365 Clifton Rd., Suite B-6200Atlanta, GA 30322

Phone: (404)778-2600 Fax: (404)778-2630Email: Paula Bokros - [email protected]

Emory is an equal opportunity/affirmative action employer

Faculty PositionsThe University of Nebraska Medical Center, Section ofEmergency Medicine is recruiting 1-2 additional facultymembers committed to developing an academic career.

Adequate protected time is provided and start-up fundingis available. Preference is given to individuals with fel-lowship training or research experience. With anapproved residency starting in July 2004, this is a greatopportunity to help shape the future of emergency med-icine in thisregion. Candidates who have toxicologytraining will also have the opportunity to work with theNebraska Regional Poison Center.

Respond in confidence to: Robert Muelleman, M.D.,Professor, Chief of Emergency Medicine, University ofNebraska Medical Center, 981150 Nebraska MedicalCenter, Omaha, NE 68198-1150. (402-559-6705) TheUniversity of Nebraska is an affirmative action/equalopportunity employer. Minorities and women are encour-aged to apply.

AcademicEmergencyPhysician

Exciting position for anexperienced, residency trained,board certified/ eligibleemergency physician to join the

faculty of the Department of Emergency Medicine, afull academic department of the Mount Sinai Schoolof Medicine in New York City.

The Mount Sinai School of Medicine is a leader inmedical education and research. The hospital is a 900bed tertiary center with an annual ED census of over70,000. The EM residency is fully accredited.Academic rank commensurate with qualifications.

Please submit confidential letter and C.V. to: CarolBarsky MD, Director and Vice Chair, Department ofEmergency Medicine, Mount Sinai School ofMedicine, Box 1149, One Gustave L. Levy Place,New York, NY, 10029. Fax (212) 427-2180.We are an equal opportunity employer fosteringdiversity in the workplace.

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The SAEM Consult Service has along history beginning with the Societyof the Teachers of Emergency Medicine(founded by Gus Roussi in the late1970s). Its greatest activity was underthe guidance of Steve Dronen, MD, whochaired the Consulting Service for manyyears and provided over 70 consulta-tions during the 1990s. The SAEMConsult Service is well prepared to offerits considerable capabilities to interest-ed parties in our specialty.

Although a variety of services areavailable, the primary foci have been thefollowing:1. Establishment of an EM residency –

this consult is in advance of applica-tion to the ACGME and RRC-EM forconsideration of a new EM residen-cy. The consultation will assess thesuitability and potential of the site forresidency training and assist in thedevelopment of the program infor-mation forms required by theACGME. This service has beensuccessfully offered to more than 40programs in the last two decades.

2. “Mock” survey prior to RRC-EM sitesurvey – this service serves as apreparatory guide to residenciespreparing for their official site surveyby the RRC-EM. This is a usefulprocess for making sure the issuesof potential concern by the RRC-EMare addressed, and convincing insti-tutional administration of the bene-fits of EM and its continued support.There have been more than 40 ofthese consults in the last 20 years.

3. Research Consultation – this rela-tively new aspect of the servicehelps programs develop a researchprogram suitable to their environ-ment. Several sites have participat-ed in this type of consultation withappropriate guidance and net gainsin their research activity.

4. Faculty Development – EM remainsone of the few specialties thatrequires faculty development as partof its program requirements.Programs who are initiating or hav-ing difficulty in this area may requesta faculty development consultation

to assist in planning effective pro-grams for their faculty.

Consultations are done by experi-enced individuals who are ProgramDirectors, Academic Chairs, and/orRRC-EM Site Surveyors. Usually 1-2individuals participate in the consulta-tion depending upon the needs of theinstitution. The individuals are selectedwith input from the institution and theconsult service. Fees are $1,250 perindividual per day plus expenses. Anadditional $500 is paid to SAEM to sup-port the administrative aspects.

The 1980s and 90s were a time oftremendous growth for EM residencies.The Consult service played a significantrole in sustaining the quality of theseresidencies and assisting numerousProgram Directors in developing andcreating solutions to their problems.The SAEM Consult Service looks for-ward to assisting in residency or aca-demic development needs. Please con-tact me directly or through SAEM for fur-ther information and assistance.

Opportunities Available Through the SAEM Consult ServiceGlenn Hamilton, MDWright State UniversityChair, SAEM Consulting Service

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Risk Factors Include:

� No True Partnership� Unfair Compensation� Unhealthy Scheduling Practices

Treatment: � Equal Equity Ownership � Superior Compensation � Physician-Friendly Scheduling � Work with EMP

Contact: Dominic J. Bagnoli, Jr., MD, FACEP, FAAEM

Faculty position available with AOA- approved EM residency trainingprogram at Ohio Valley Medical Center in Wheeling, WV.

Emergency Medicine FacultyThe Emergency Department at Regions Hospital in St. Paul, Minnesota is recruiting EMresidency trained, ABEM certified or eligible clinical, academic and research faculty tojoin our progressive, academic group. Regions is a Level 1 trauma and burn center, withan established 3-year EM residency program and an annual ED volume of 63,000.

We are seeking talented clinicians and academicians committed to excellence in bedsideteaching. Protected time is available for candidates with fellowship training and/or provenexperience in education, medical informatics, toxicology, or administration.

We are also seeking researchers with proven grant writing skills, productive researchexperience, and/or fellowship training. Significant protected time; support is availablefor pilot project funding, grant writing, and statistical analyses, with access to large,HMO-linked population and hospital operations databases.

For more information, contact Dr. Brent Asplin, Department Head at 651-254-1809 [email protected]. To apply, forward your CV and cover letter via faxto (952) 883-5395, email [email protected], or call (800) 472-4695.Visit us online at www.regionshospital.org. EO Employer

w w w . h e a l t h p a r t n e r s . c o m

We’re on a missionto raise the bar on healthcare delivery

Call for PhotographsDeadline: February 18, 2004

Original photographs of patients, pathology specimens, gram stains, EKG’s, and radiographic studies or other visual dataare invited for presentation at the 2004 SAEM Annual Meeting in Orlando. Submissions should depict findings that arepathognomonic for a particular diagnosis relevant to the practice of emergency medicine or findings of unusual interest thathave educational value. Accepted submissions will be mounted by SAEM and presented in the “Clinical Pearls” sessionand/or the “Visual Diagnosis” medical student/resident contest.

No more than three different photos should be submitted for any one case. Submit one glossy photo (5 x 7, 8 x 10, 11 x14, or 16 x 20) and a digital copy in JPEG or TIFF format on a disk or by email attachment (resolution of at least 640 x 48).Radiographs and EKGs should also be submitted in hard copy and digital format. Do not send X-rays.The back of each photoshould contain the contributor’s name, address, hospital or program, and an arrow indicating the top. Submissions shouldbe shipped in an envelope with cardboard, but should not be mounted.

Photo submissions must be accompanied by a brief case history written as an “unknown” in the following format: 1) chiefcomplaint, 2) history of present illness, 3) pertinent physical exam (other than what is depicted in the photo), 4) pertinent lab-oratory data, 5) one or two questions asking the viewer to identify the diagnosis or pertinent finding, 6) answer(s) and briefdiscussion of the case, including an explanation of the findings in the photo, and 7) one to three bulleted take home pointsor “pearls.”

The case history must be submitted on the template posted on the SAEM website at www.saem.org and must be submit-ted electronically. The case history is limited to no more than 250 words. If accepted for display SAEM reserves the right toedit the submitted case history. Submissions will be selected based on their educational merit, relevance to emergency med-icine, quality of the photograph, the case history and appropriateness for public display. Contributors will be acknowledgedand photos will be returned after the Annual Meeting. Academic Emergency Medicine (AEM), the official SAEM journal, mayinvite a limited number of displayed photos to be submitted to AEM for consideration of publication. SAEM will retain therights to use submitted photographs in future educational projects, with full credit given for the contribution.

Photographs must not appear in a refereed journal prior to the Annual Meeting. Patients should be appropriately masked.Submitters must attest that written consent and release of responsibility have been obtained for all photos EXCEPT for iso-lated diagnostic studies such as EKGs, radiographs, gram stains, etc.

Page 28: November-December 2003

Board of DirectorsDonald Yealy, MDPresident

Carey Chisholm, MDPresident-Elect

James Adams, MDSecretary-Treasurer

Roger Lewis, MD, PhDPast President

Valerie DeMaio, MDLeon Haley, Jr, MD, MHSAGlenn Hamilton, MDStephen Hargarten, MD, MPHKatherine Heilpern, MDJames Hoekstra, MDSusan Stern, MD

EditorDavid Cone, [email protected]

Executive Director/Managing EditorMary Ann [email protected]

Advertising CoordinatorCarrie [email protected]

“to improve patient care byadvancing research andeducation in emergencymedicine”

The SAEM newsletter is published bimonthly by the Society for Academic EmergencyMedicine. The opinions expressed in this publication are those of the authors and donot necessarily reflect those of SAEM.

Society for AcademicEmergency Medicine901 N. Washington AvenueLansing, MI 48906-5137

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Lansing, MIPermit No. 485NEWSLETTER

Newsletter of the Society for Academic Emergency Medicine

SAEM NEWSLETTER

Call for Abstracts2004 Annual Meeting

May 16-19, 2004Orlando, Florida

Deadline: January 6, 2004

The Program Committee is accepting abstracts for review for oral and poster presentation at the 2004 SAEMAnnual Meeting. Authors are invited to submit original research in all aspects of Emergency Medicine in-cluding, but not limited to: abdominal/gastrointestinal/genitourinary pathology, administrative/health care policy, airway/anesthesia/analgesia, CPR, cardiovascular (non-CPR), clinical decision guide-lines, computer technologies, diagnostic technologies/radiology, disease/injury prevention, educa-tion/professional development, EMS/out-of-hospital, ethics, geriatrics, infectious disease, IEME exhibit,ischemia/reperfusion, neurology, obstetrics/gynecology, pediatrics, psychiatry/social issues, researchdesign/methodology/statistics, respiratory/ENT disorders, shock/critical care, toxicology/environmentalinjury, trauma, and wounds/burns/orthopedics.

The deadline for submission of abstracts is Tuesday, January 6, 2004 at 3:00 pm Eastern Time andwill be strictly enforced. Only electronic submissions via the SAEM online abstract submission form willbe accepted. The abstract submission form and instructions will be available on the SAEM website atwww.saem.org in November. For further information or questions, contact SAEM at [email protected] or 517-485-5484 or via fax at 517-485-0801.

Only reports of original research may be submitted. The data must not have been published in manuscriptor abstract form or presented at a national medical scientific meeting prior to the 2004 SAEM AnnualMeeting. Original abstracts presented at national meetings in April or May 2004 will be considered.

Abstracts accepted for presentation will be published in the May issue of Academic Emergency Medicine,the official journal of the Society for Academic Emergency Medicine. SAEM strongly encourages authors tosubmit their manuscripts to AEM. AEM will notify authors of a decision regarding publication within 60 daysof receipt of a manuscript.

SAEM